FORM 1023-EZ for THE HOWARD W BLAKE ACADEMIC FOUNDATION INCORPORATED

Field Data
EIN 81-2245768
Case Number EO-2016110-000164
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE HOWARD W BLAKE ACADEMIC FOUNDATION INCORPORATED
Organization’s Mailing Address 1701 NORTH BOULEVARD
City TAMPA
State FL
ZIP 33607
Accounting period End 6
Primary contact name ANTHONY HAYNES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JACQUELINE HAYNES
DIRECTOR
6602 FLICKER COURT
SEFFNER FL 33584

Officer/Director/Trustee Two

ANGEL WILLIAMS
DIRECTOR
PO BOX 4016
TAMPA FL 33677

Officer/Director/Trustee Three

GWEN WILLIAMS
DIRECTOR
3913 WEST STATE STREET
TAMPA FL 33609

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B25 - Secondary, High School
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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