FORM 1023-EZ for PALATKA HOUSING DEVELOPMENT AND MANAGEMENT CORPORATION

Field Data
EIN 84-2506191
Case Number EO-2019235-000207
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PALATKA HOUSING DEVELOPMENT AND MANAGEMENT CORPORATION
Organization’s Mailing Address 400 NORTH 15TH STREET
City PALATKA
State FL
ZIP 32177-3104
Accounting period End 12
Primary contact name RICARDO L GILMORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY WOODS
EXECUTIVE DIRECTOR
400 NORTH 15TH STREET
PALATKA FL 32177-3104

Officer/Director/Trustee Two

DARRYL FUTCH
CHAIRMAN
400 NORTH 15TH STREET
PALATKA FL 32177-3104

Officer/Director/Trustee Three

JIM NESHEWAT
VICE-CHAIRMAN
400 NORTH 15TH STREET
PALATKA FL 32177-3104

Officer/Director/Trustee Four

WILL JONES
DIRECTOR
400 NORTH 15TH STREET
PALATKA FL 32177-3104

Officer/Director/Trustee Five

CHRISTINE BOLDEN
DIRECTOR
400 NORTH 15TH STREET
PALATKA FL 32177-3104

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L20 - Housing Development, Construction, Management
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 ANTHONY WOODS
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/21/19

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