FORM 1023-EZ for PUCKS WITH A PURPOSE INC

Field Data
EIN 83-4687402
Case Number EO-2019130-000180
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PUCKS WITH A PURPOSE INC
Organization’s Mailing Address 9209 SEMINOLE BLVD UNIT 99
City SEMINOLE
State FL
ZIP 33772
Accounting period End 12
Primary contact name THOMAS SCHOOLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS SCHOOLEY
CEO/PRES
9209 SEMINOLE BLVD UNIT 99
SEMINOLE FL 33772

Officer/Director/Trustee Two

BRANDI WILSON
VP
10515 MARONDA DR
RIVERVIEW FL 33578

Officer/Director/Trustee Three

NICOLE VLIET
SECRETARY
1204 E CUMBERLAND AVE UNIT 204
TAMPA FL 33602

Officer/Director/Trustee Four

STEPHANIE SANDERS
TREASURER
1708 EAST ANNONA AVE
TAMPA FL 33612

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 THOMAS SCHOOLEY
Signature Title CEO/PRES
Signature Date 5/8/19

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