FORM 1023-EZ for AYR RECOVERY FOUNDATION INC

Field Data
EIN 84-4624105
Case Number EO-2020275-000046
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AYR RECOVERY FOUNDATION INC
Organization’s Mailing Address 693 ROGER SHERMAN STREET
City ORANGE PARK
State FL
ZIP 32073
Accounting period End 12
Primary contact name TERESITA HELLARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERESITA HELLARD
PRESIDENT/TREAS/DIRECT/FOUNDER/CEO
693 ROGER SHERMAN STREET
ORANGE PARK FL 32073

Officer/Director/Trustee Two

ELIZABETH TAYLOR
SECRETARY/DIRECTOR
6812 GILDA COURT
KEYSTONE HEIGHTS FL 32656

Officer/Director/Trustee Three

TOM LUYSTER
VICE PRESIDENT/DIRECTOR
7920 MONTEREY BAY DR
JACKSONVILLE FL 32256

Officer/Director/Trustee Four

JOHN SUTTON
CHAIRMAN/DIRECTOR
1427 THOMASVILLE CIRCLE
LAKELAND FL 33811

Organization’s website
Organization’s email AYRFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Donation of funds Yes
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 Yes
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 TERESITA HELLARD
Signature Title PRESIDENT/TREAS/DIRECT/FOUNDER/CEO
Signature Date 9/29/2020

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