FORM 1023-EZ for RETREAT UNPLUGGED INC

Field Data
EIN 81-4802483
Case Number EO-2017060-000459
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RETREAT UNPLUGGED INC
Organization’s Mailing Address 720 RODEL COVE
City LAKE MARY
State FL
ZIP 32746-4857
Accounting period End 12
Primary contact name VIVIAN HOWARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VIVIAN HOWARD
PRESIDENT
4244 MESSSINA DRIVE
LAKE MARY FL 32746

Officer/Director/Trustee Two

LORI LIGHTY
VICE PRESIDENT
4 HUNTLEY CT
HAINES CITY FL 33844

Officer/Director/Trustee Three

GAYLE BOJERSKI
SECRETARY/TREASURER
131 MAYFAIR COURT
SANFORD FL 32774

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: No
Religious: Yes
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 No
One Third Support Gifts Yes
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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