FORM 1023-EZ for THIN LINE ACUPUNCTURE INC

Field Data
EIN 81-3208398
Case Number EO-2020044-000280
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THIN LINE ACUPUNCTURE INC
Organization’s Mailing Address 9532 GRIFFIN ROAD
City COOPER CITY
State FL
ZIP 33328
Accounting period End 12
Primary contact name CHRISTAL DEHAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTAL DEHAY
PRESIDENT
6171 SW 42ND CT
DAVIE FL 33314

Officer/Director/Trustee Two

JERI MITCHELL
VICE PRESIDENT
4811 SW 199 AVE
SW RANCHES FL 33332

Officer/Director/Trustee Three

DENISE JOHNSON
SECRETARY
136 SW 127 AVE
PLANTATION FL 33325

Officer/Director/Trustee Four

CALEB TROEDSON
TREASURER
6171 SW 42ND CT
DAVIE FL 33314

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 CHRISTAL DEHAY
Signature Title PRESIDENT
Signature Date 2/11/2020

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