FORM 1023-EZ for POTTERS WHEEL INC

Field Data
EIN 47-3420561
Case Number EO-2015084-000255
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POTTERS WHEEL INC
Organization’s Mailing Address 1921 VERONICA SHOEMAKER BLVD
City FORT MYERS
State FL
ZIP 33916
Accounting period End 12
Primary contact name ESPERANZA WILLLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PERCY WILLIAMS
PRESIDENT
1921 VERONICA SHOEMAKER BLVD
FORT MYERS FL 33916

Officer/Director/Trustee Two

ESPERANZA WILLIAMS
VICE PRES
1921 VERONICA SHOEMAKER BLVD
FORT MYERS FL 33916

Officer/Director/Trustee Three

CLAYTRINA PLAIR
TREASURER
2623 ORANGE STREET
FORT MYERS FL 33916

Officer/Director/Trustee Four

RAYMOND CAMPBELL
BOARD MEMBER
1920 PAULDO STREET
FORT MYERS FL 33916

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/2013
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
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 Yes
One Third Support Gifts No
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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