FORM 1023-EZ for BURNETTI LAW CHARITABLE FOUNDATION INC

Field Data
EIN 82-0985943
Case Number EO-2017090-000371
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BURNETTI LAW CHARITABLE FOUNDATION INC
Organization’s Mailing Address 1937 EAST EGDEWOOD DRIVE SUITE 102
City LAKELAND
State FL
ZIP 33803
Accounting period End 12
Primary contact name DEAN BURNETTI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEAN BURNETTI
PRESIDENT
2106 KIRLAND LAKE DRIVE
AUBURNDALE FL 33823

Officer/Director/Trustee Two

PATRICIA BURNETTI
VICE PRESIDENT
2106 KIRKLAND LAKE DRIVE
AUBURNDALE FL 33823

Officer/Director/Trustee Three

JANICE WARFIELD
SECRETARY
328 WEST MAIN STREET
LAKE HAMILTON FL 33851

Officer/Director/Trustee Four

RACHEL CARRERA
TREASURER
6113 MORNINGDALE AVENUE
LAKELAND FL 33813

Organization’s website
Organization’s email RACHEL@BURNETTILAW.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T21 - Corporate Foundations
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 Yes
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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