FORM 1023-EZ for THE FRIENDS OF THE JACK KEROUAC HOUSE INC

Field Data
EIN 30-0798703
Case Number EO-2016306-000081
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE FRIENDS OF THE JACK KEROUAC HOUSE INC
Organization’s Mailing Address 1230 DR MARTIN LUTHER KING JR BLVD
City ST PETERSBURG
State FL
ZIP 33705
Accounting period End 12
Primary contact name HEIDI HORAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK BARMORE
PRESIDENT
15 N JUPITER AVE
CLEARWATER FL 33755-6222

Officer/Director/Trustee Two

PETER GALLAGHER
VICE PRESIDENT
2448 DARTMOUTH AVE N
LIVINGSTON MANOR NY 12758

Officer/Director/Trustee Three

HEIDI HORAK
TREASURER
20 18TH ST S
ST PETERSBURG FL 33712-1332

Officer/Director/Trustee Four

MARGARET MURRAY
SECRETARY
6220 SIXTH AVE N
ST PETERSBURG FL 33710-7038

Officer/Director/Trustee Five

DALE NICHOLS
DIRECTOR
4565 13TH WAY NE
ST PETERSBURG FL 33703-5323

Organization’s website WWW.KEROUACHOUSE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/2013
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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