FORM 1023-EZ for COVID STORIES ARCHIVE INC

Field Data
EIN 87-1646681
Case Number EO-2021196-000252
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COVID STORIES ARCHIVE INC
Organization’s Mailing Address 10723 SCOTT MILL RD
City JACKSONVILLE
State FL
ZIP 32223
Accounting period End 6
Primary contact name SAMUEL WALD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMUEL WALD
DIRECTOR
10723 SCOTT MILL RD
JACKSONVILLE FL 32223

Officer/Director/Trustee Two

JENNIFER CABRERA
DIRECTOR
6118 NW 113TH PL
ALACHUA FL 32615

Officer/Director/Trustee Three

ELLEN WALD
DIRECTOR
10723 SCOTT MILL ROAD
JACKSONVILLE FL 32223

Organization’s website COVIDSTORIESARCHIVE.ORG
Organization’s email COVIDSTORIESARCHIVE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code V30 - Interdisciplinary Research
Organization’s purpose Charitable: No
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 SAMUEL WALD
Signature Title DIRECTOR
Signature Date 7/13/2021

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