FORM 1023-EZ for HEAVENLY ANGELS ON WHEELS MOBILE FOOD PANTRY

Field Data
EIN 82-3903963
Case Number EO-2018135-000168
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEAVENLY ANGELS ON WHEELS MOBILE FOOD PANTRY
Organization’s Mailing Address 1309 LAKE SHORE RANCH DR
City SEFFNER
State FL
ZIP 33584
Accounting period End 4
Primary contact name GREGORY GRIFFITH JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREGORY GRIFFITH JR
DIRECTOR
1710 HONEY RIDGE PL
VALRICO FL 33594

Officer/Director/Trustee Two

CHERYL LEONARD
DIRECTOR
1309 LAKE SHORE DR
SEFFNER FL 33584

Officer/Director/Trustee Three

XAVIER RUSSELL
DIRECTOR
2255 62ND AVENUE
SAINT PETERSBURG FL 33702

Officer/Director/Trustee Four

TOM JONES
DIRECTOR
4101 E ELLICOT STREET
TAMPA FL 33610

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/5/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GREGORY GRIFFITH JR
Signature Title DIRECTOR
Signature Date 5/9/18

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