FORM 1023-EZ for PSI OMEGA NU FRATERNITY INC

Field Data
EIN 83-1671653
Case Number EO-2019031-000656
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PSI OMEGA NU FRATERNITY INC
Organization’s Mailing Address 2499 SE AMHERST STREET
City STUART
State FL
ZIP 34997
Accounting period End 12
Primary contact name DERRICK YOUNG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DERRICK YOUNG
PRESIDENT
2499 SE AMHERST STREET
STUART FL 34997

Officer/Director/Trustee Two

DOROTHY ELLERBE
TREASURER
2499 SE AMHERST STREET
STUART FL 34997

Officer/Director/Trustee Three

TERRY WILLIAMS
SECRETARY
2499 SE AMHERST STREET
STUART FL 34997

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B83 - Student Sororities, Fraternities
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DERRICK YOUNG
Signature Title PRESIDENT
Signature Date 1/4/19

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