FORM 1023-EZ for THE BELLAMY HINES BAUTISTA CORPORATION

Field Data
EIN 46-2642414
Case Number EO-2015348-000404
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE BELLAMY HINES BAUTISTA CORPORATION
Organization’s Mailing Address P O BOX 122
City PANAMA CITY
State FL
ZIP 32402
Accounting period End 6
Primary contact name SHARON HINES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHELLE BAUTISTA
EXECUTIVE DIRECTOR
537 BUNKERS COVE RD
PANAMA CITY FL 32401

Officer/Director/Trustee Two

ZACHARY BAUTISTA
VICE DIRECTOR
537 BUNKERS COVE RD
PANAMA CITY FL 32401

Officer/Director/Trustee Three

LEETORIA PATTEN
SECRETARY
907 SEA ROBIN LANE
PANAMA CITY BCH FL 32408

Officer/Director/Trustee Four

GEORGE HINES
TREASURER
4160 CONWAY CIRCLE
PANAMA CITY FL 31605

Organization’s website WWW.BHBCORP.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
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
Signature Title
Signature Date

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