FORM 1023-EZ for NINER EMPIRE TAMPA FL CHAPTER INC

Field Data
EIN 83-0806485
Case Number EO-2019176-000458
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NINER EMPIRE TAMPA FL CHAPTER INC
Organization’s Mailing Address 4561 FAIRWAY OAKS DRIVE
City MULBERRY
State FL
ZIP 33860
Accounting period End 12
Primary contact name JOHN DOWNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN DOWNER
PRESIDENT
4561 FAIRWAY OAKS DRIVE
MULBERRY FL 33860

Officer/Director/Trustee Two

MISTY DOWNER
BOARD MEMBER
4561 FAIRWAY OAKS DRIVE
MULBERRY FL 33860

Officer/Director/Trustee Three

THERESA MARSHALL
BOARD MEMBER
3747 WILLIAMS LANDING CIRCLE 302
TAMPA FL 33610

Organization’s website
Organization’s email DOWNER68@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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 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 JOHN DOWNER
Signature Title PRESIDENT
Signature Date 6/21/19

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