FORM 1023-EZ for THE ELLIS AFFECT INC

Field Data
EIN 87-1182724
Case Number EO-2021196-000304
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE ELLIS AFFECT INC
Organization’s Mailing Address 7265 SW 148 CT
City MIAMI
State FL
ZIP 33193
Accounting period End 12
Primary contact name RYAN ELLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN ELLIS
PRESIDENT
7265 SW 148 CT
MIAMI FL 33193

Officer/Director/Trustee Two

DIANE ELLIS
VP
12 SAMMY LANE
WARWICK MA 01378

Officer/Director/Trustee Three

CINDY ELLIS
CEO
7265 SW 148 CT
MIAMI FL 33193

Officer/Director/Trustee Four

LEILANI ELLIS
DIRECTOR
7265 SW 148 CT
MIAMI FL 33193

Organization’s website
Organization’s email ELLISAFFECT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 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 RYAN ELLIS
Signature Title PRESIDENT
Signature Date 7/13/2021

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