FORM 1023-EZ for CRESCENT LAKE NEIGHBORHOOD ASSOCIATION

Field Data
EIN 46-2382015
Case Number EO-2018089-000447
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CRESCENT LAKE NEIGHBORHOOD ASSOCIATION
Organization’s Mailing Address PO BOX 7243
City ST. PETERSBURG
State FL
ZIP 33734-7346
Accounting period End 12
Primary contact name LISSET HANEWICZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISSET HANEWICZ
PRESIDENT
863 19TH AVE N
ST. PETERSBURG FL 33704

Officer/Director/Trustee Two

KRISTI AUSSNER
VICE-PRESIDENT
745 20TH AVE N
ST. PETERSBURG FL 33704

Officer/Director/Trustee Three

SARAH BREEN
SECRETARY
821 16TH AVE N
ST. PETERSBURG FL 33704

Officer/Director/Trustee Four

THERESA DARLINGTON
TREASURER
790 19TH AVE N
ST. PETERSBURG FL 33704

Organization’s website CLNASTPETE.ORG
Organization’s email INFO@CLNASTPETE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S22 - Neighborhood, Block Associations
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 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 LISSET HANEWICZ
Signature Title PRESIDENT
Signature Date 3/28/18

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