FORM 1023-EZ for SANCTUARY YOUTH CENTER

Field Data
EIN 59-3374369
Case Number EO-2015028-000407
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SANCTUARY YOUTH CENTER
Organization’s Mailing Address P O BOX 322
City LAKELAND
State FL
ZIP 33802
Accounting period End 12
Primary contact name MARK BARTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK BARTON
PRESIDENT
125 NORTH KENTUCKY AVENUE 505
LAKELAND FL 33801

Officer/Director/Trustee Two

ROBERT STOWERS
VICE PRESIDENT
335 HICKORY ST
MULBERRY FL 33860

Officer/Director/Trustee Three

THOMAS MAYNARD
SECRETARY
942 SOUTH GOLDEN RULE
LAKELAND FL 33803

Officer/Director/Trustee Four

KIMBERLEA STOWERS
TREASURER
335 HICKORY ST
LAKELAND FL 33860

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/1996
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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