FORM 1023-EZ for SHIRLEY MAE DOVE FOUNDATION INC

Field Data
EIN 32-0318254
Case Number EO-2016172-000233
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHIRLEY MAE DOVE FOUNDATION INC
Organization’s Mailing Address 1411 ROOSEVELT AVE
City LEHIGH
State FL
ZIP 33972
Accounting period End 6
Primary contact name CHRISTINA FABRIZIO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRISTINE FABRIZIO
PRESIDENT
1411 ROOSEVELT AVENUE
LEHIGH FL 33972

Officer/Director/Trustee Two

DIANE MILLER
VICE PRESIDENT
20230 WILLIAMS DRIVE
N FORT MYERS FL 33917

Officer/Director/Trustee Three

JESSICA CANTU
SECRETARY
104 NW 7TH TERRACE
CAPE CORAL FL 33993

Organization’s website
Organization’s email SHIRLEYMAEDOVE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2010
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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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