FORM 1023-EZ for TOPS FL 0560 JACKSONVILLE

Field Data
EIN 38-3885767
Case Number EO-2016217-000283
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TOPS FL 0560 JACKSONVILLE
Organization’s Mailing Address 8157 GALAXIE DR
City JACKSONVILLE
State FL
ZIP 32244-1227
Accounting period End 3
Primary contact name HARLAN A DITTMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORETTA MCTYRE
LEADER
246 CLAREMORE AVE
JACKSONVILLE FL 32220-1817

Officer/Director/Trustee Two

MILDRED DITTMAN
CO-LEADER
8157 GALAXIE DR
JACKSONVILLE FL 32244-1227

Officer/Director/Trustee Three

HARLAN DITTMAN
TREASURER
8157 GALAXIE DR
JACKSONVILLE FL 32244-1227

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/2015
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: 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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