FORM 1023-EZ for IEMBARK INCORPORATED

Field Data
EIN 83-4494391
Case Number EO-2021120-000210
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IEMBARK INCORPORATED
Organization’s Mailing Address 1315 OAKFIELD DRIVE SUITE 4131
City BRANDON
State FL
ZIP 33509
Accounting period End 12
Primary contact name PATRICK JEAN-PIERRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK C JEAN-PIERRE
PRESIDENT
PO BOX 4131
BRANDON FL 33509

Officer/Director/Trustee Two

REGINE D JEAN-PIERRE
VICE-PRESIDENT
PO BOX 4131
BRANDON FL 33509

Organization’s website WWW.IEMBARK.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/12/2019
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: 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 No
Donation of funds No
Conducting Activities Outside of United States Yes
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 PATRICK C JEAN-PIERRE
Signature Title PRESIDENT
Signature Date 4/28/2021

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