FORM 1023-EZ for THE LEAF OF LOVE INC

Field Data
EIN 85-1318461
Case Number EO-2020163-000301
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE LEAF OF LOVE INC
Organization’s Mailing Address 3283 W LAKE CHILTON DRIVE
City AVON PARK
State FL
ZIP 33825
Accounting period End 12
Primary contact name TIA TATEM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RUSSELL BAILEY
PRESIDENT
2301 NW 119TH STREET APT 104
MIAMI FL 33167

Officer/Director/Trustee Two

TIA TATEM
TREASURER
3283 W LAKE CHILTON DR
AVON PARK FL 33825

Officer/Director/Trustee Three

VERONICA PAYNE
SECRETARY
2157 NW 68TH TERR
MIAMI FL 33147

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/2000
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 TIA TATEM
Signature Title TREASURER
Signature Date 6/9/2020

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