FORM 1023-EZ for A PLUS ALLIANCE SUPPORT CARE SERVICES INC

Field Data
EIN 82-1404850
Case Number EO-2017135-000051
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name A PLUS ALLIANCE SUPPORT CARE SERVICES INC
Organization’s Mailing Address 5470 E BUSCH BLVD STE 425
City TEMPLE TERRACE
State FL
ZIP 33617
Accounting period End 12
Primary contact name DEMETRIUS CRANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LATASHA WALTERS JACKSON
PRESIDENT
5470 E BUSCH BLVD SUITE 425
TEMPLE TERRACE FL 33617

Officer/Director/Trustee Two

DAVID WRIGHT
VICE-PRESIDENT
5470 E BUSCH BLVD SUITE 425
TEMPLE TERRACE FL 33617

Officer/Director/Trustee Three

CRYSTAL WILLIAMS
DIRECTOR
PO BOX 7344
TALLAHASSEE FL 32314

Officer/Director/Trustee Four

BIANCA FLEMISTER
SECRETARY
6439 CYPRESSDALE DRIVE
RIVERVIEW FL 33578

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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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