FORM 1023-EZ for NEW BETHEL LAKELAND SOCIAL SERVICESINC

Field Data
EIN 20-5576358
Case Number EO-2014287-000199
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEW BETHEL LAKELAND SOCIAL SERVICESINC
Organization’s Mailing Address 2122 MARTIN LUTHER KING JR AVE
City LAKELAND
State FL
ZIP 33805-2860
Accounting period End 12
Primary contact name RICHARD W RICHARDSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EDDIE LAKE
PRESIDENT
2122 MATRIN LUTHER KNG JR AVE
LAKELAND FL 33805-2860

Officer/Director/Trustee Two

ERNIE IVEY
TREASURER
2122 MARTIN LUTHER KING JR AVE
LAKELAND FL 33805-2860

Officer/Director/Trustee Three

RICHARD RICHARDSON
SECRETARY
2122 MARTIN LUTHER KING JR AVE
LAKELAND FL 33805-2860

Officer/Director/Trustee Four

MC ARTHUR CARPENTER
DIRECTOR
2122 MARTIN LUTHER KING JR AVE
LAKELAND FL 33805-2860

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/2006
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: Yes
Religious: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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