FORM 1023-EZ for STAY FOCUSED INC

Field Data
EIN 47-3970794
Case Number EO-2015138-000354
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STAY FOCUSED INC
Organization’s Mailing Address PO BOX 2337
City VALRICO
State FL
ZIP 33595-2337
Accounting period End 12
Primary contact name TAVORIS ALLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TAVORIS ALLEN
PRESIDENT/CEO
2608 BONTERRA BLVD
VALRICO FL 33594-3808

Officer/Director/Trustee Two

BOBBY LEACH
VP OPERATIONS
10610 N 30TH ST APT 21A
TAMPA FL 33612-6346

Officer/Director/Trustee Three

BRUCE ANDERSON
O.D., F.A.A.O.
719 W FLETCHER AVE
TAMPA FL 33612-3422

Officer/Director/Trustee Four

TAMMY ALLEN
BOARD CHAIR
30824 TEMPLE STAND AVE
WESLEY CHAPEL FL 33543-7105

Officer/Director/Trustee Five

YOLONDA YOUNG
DIRECTOR
7941 24TH AVE S
TAMPA FL 33619-5700

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2015
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: Yes
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 Yes
Donation of funds Yes
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
Signature Title
Signature Date

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