FORM 1023-EZ for THE PARROT HEAD CLUB OF KEY WEST INC

Field Data
EIN 47-4806920
Case Number EO-2015243-000279
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE PARROT HEAD CLUB OF KEY WEST INC
Organization’s Mailing Address 22958 LONG BEN LANE
City CUDJOE KEY
State FL
ZIP 33042
Accounting period End 12
Primary contact name ROBERT FARROW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JULIE WATERS
PRESIDENT
22598 LONG BEN LANE
CUDJOE KEY FL 33042

Officer/Director/Trustee Two

MICHELLE GITTINGS
VICE PRESIDENT
PO BOX 1523
KEY WEST FL 33041

Officer/Director/Trustee Three

REBECCA LACEY
SECRETARY
PO BOX 1523
KEYWEST FL 33041

Officer/Director/Trustee Four

ROBERT FARROW
TREASURER
3818 DUCK AVENUE
KEY WEST FL 33040

Officer/Director/Trustee Five

WENDY BRACHT
DIRECTOR
PO BOX 1523
KEY WEST FL 33041

Organization’s website HTTP://WWW.KEYWESTPARROTHEADCLUB.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 Yes
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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