FORM 1023-EZ for ST PETERSBURG BRANCH OF ASALH INC

Field Data
EIN 47-2250825
Case Number EO-2017089-000260
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ST PETERSBURG BRANCH OF ASALH INC
Organization’s Mailing Address 1726 28TH AVENUE SOUTH
City ST PETERSBURG
State FL
ZIP 33712
Accounting period End 12
Primary contact name WILLIAM PULLER CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACQUELINE HUBBARD
PRESIDENT
1726 28TH AVENUE SOUTH
ST PETERSBURG FL 33712

Officer/Director/Trustee Two

MENDEE LIGON
VICE PRESIDENT
6450 4TH STREET SOUTH
ST PETERSBURG FL 33705

Officer/Director/Trustee Three

ASHBY HOBSON
TREASURER
115 3RD STREET WEST
TIERRA VERDE FL 33715

Officer/Director/Trustee Four

IRENE PRIDGEN
VICE PRESIDENT
6000 25TH WAY SOUTH
ST PETERSBURG FL 33712

Officer/Director/Trustee Five

DIANE KING
SECRETARY
4850 OSPREY DRIVE SUITE 206
ST PETERSBURG FL 33711

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/5/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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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