FORM 1023-EZ for CRAG LILYRAIN POVERTY ESCAPE INC

Field Data
EIN 86-1381092
Case Number EO-2021076-000594
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CRAG LILYRAIN POVERTY ESCAPE INC
Organization’s Mailing Address 6750 N ANDREWS AVE STE 200
City FT LAUDERDALE
State FL
ZIP 33309
Accounting period End 12
Primary contact name ANTONETTE RUSSELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTONETTE RUSSELL
CEO
6750 N ANDREWS AVE STE 200
FT LAUDERDALE FL 33309

Officer/Director/Trustee Two

MERTELLA BURRIS
PRESIDENT
6720 NW 39TH LN
LAUDERHILL FL 33319

Officer/Director/Trustee Three

NATALIE RICKETTS-COLEY
VICE PRESIDENT
2966 NW 124TH WAY
SUNRISE FL 33323

Officer/Director/Trustee Four

LELEITHA KELLY
TREASURER
3047 BRIGHTON CT
CONYERS GA 30094

Officer/Director/Trustee Five

NADINE ATKINSON-FLOWERS
SECRETARY
1804 CRICKET LN
FOLCROFT PA 19032

Organization’s website WWW.POVERTYESCAPE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 ANTONETTE RUSSELL
Signature Title CEO
Signature Date 1/18/2021

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