FORM 1023-EZ for THE GATHERING WELL INC

Field Data
EIN 46-2472897
Case Number EO-2014258-000494
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE GATHERING WELL INC
Organization’s Mailing Address 5322 PRIMEROSE LAKE CIRCLE SUITE B
City TAMPA
State FL
ZIP 33647
Accounting period End 12
Primary contact name TONI GASKINS JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TONI GASKINS JR
EXECUTIVE DIRECTOR
10925 CORY LAKE DR
TAMPA FL 33647

Officer/Director/Trustee Two

SHERI CHANROO
EXECUTIVE ASSISTANT
10925 CORY LAKE DR
TAMPA FL 33647

Officer/Director/Trustee Three

WESLEY BARNETT
ASSISTANT DIRECTOR
10925 CORY LAKE DR
TAMPA FL 33647

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2013
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: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
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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