| Field | Data |
|---|---|
| EIN | 82-4990709 |
| Case Number | EO-2020080-000099 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LEVI LONG SICKLE CELL ASSOCIATION INC |
| Organization’s Mailing Address | 349 BARTLEY RD |
| City | DAYTONA BEACH |
| State | FL |
| ZIP | 32114 |
| Accounting period End | 12 |
| Primary contact name | PHEBE FUQUA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
KEIANA GRIFFIN
PRESIDENT
349 BARTLEY RD
DAYTONA BEACH FL 32114
DONNIE CROSBY
VICE PRESIDENT
349 BARTLEY RD
DAYTONA BEACH FL 32114
VENOLA LONG
SECRETARY
349 BARTLEY RD
DAYTONA BEACH FL 32114
VANESSIA WILKINS
TREASURER
349 BARTLEY RD
DAYTONA BEACH FL 32114
DAVID CROSBY
VICE PRESIDENT
349 BARTLEY RD
DAYTONA BEACH FL 32114
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/5/2017 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P01 - Alliance/Advocacy Organizations |
| 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | KEIANA GRIFFIN |
| Signature Title | PRESIDENT |
| Signature Date | 3/18/2020 |
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