FORM 1023-EZ for EIS4EPILEPSY INC
| Field | Data |
|---|---|
| EIN | 86-1303248 |
| Case Number | EO-2021064-001767 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | EIS4EPILEPSY INC |
| Organization’s Mailing Address | 632 DITMAR ST |
| City | PENSACOLA |
| State | FL |
| ZIP | 32503 |
| Accounting period End | 12 |
| Primary contact name | ALEXANDRA LYNN GOLDSMITH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ALEXANDRA LYNN GOLDSMITH
PRESIDENT
632 DITMAR ST
PENSACOLA FL 32503
Officer/Director/Trustee Two
SHIRAYA LEWIS
VICE PRESIDENT
632 DITMAR ST
PENSACOLA FL 32503
Officer/Director/Trustee Three
ERICA ALLEN
SECRETARY
632 DITMAR ST
PENSACOLA FL 32503
Officer/Director/Trustee Four
ALEXANDRA LYNN GOLDSMITH
TREASURER
632 DITMAR ST
PENSACOLA FL 32503
| Organization’s website | |
|---|---|
| Organization’s email | ALEXANDRALYNN31@YAHOO.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/31/2020 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes 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 | No |
| Conducting Activities Outside of United States | Yes |
| Financial transactions with officers | Yes |
| 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 | ALEXANDRA LYNN GOLDSMITH |
| Signature Title | TREASURER |
| Signature Date | 1/13/2021 |
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