FORM 1023-EZ for GLADES FAMILY SERVICE CENTER INC

Field Data
EIN 83-3732421
Case Number EO-2019070-000390
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GLADES FAMILY SERVICE CENTER INC
Organization’s Mailing Address 1501 CALUSA DRIVE APT 5201
City BELLE GLADE
State FL
ZIP 33430
Accounting period End 12
Primary contact name SHANDRA STRINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC PAYNE
PRESIDENT AND CEO
1501 CALUSA DRIVE APT 5201
BELLE GLADE FL 33430

Officer/Director/Trustee Two

THERESA PAYNE
VICE PRESIDENT
1525 PROSPERITY FARMS ROAD
BELLE GLADE FL 33430

Officer/Director/Trustee Three

HESTER DAVIS
TREASURER
719 SW 6TH STREET
DELRAY BEACH FL 33444

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 ERIC PAYNE
Signature Title PRESIDENT AND CEO
Signature Date 3/9/19

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