| Field | Data |
|---|---|
| EIN | 83-2129405 |
| Case Number | EO-2018340-000439 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | TAKE MY LIFE BACK INCORPORATED |
| Organization’s Mailing Address | 5020 CLARK ROAD SUITE 130 |
| City | SARASOTA |
| State | FL |
| ZIP | 34233 |
| Accounting period End | 12 |
| Primary contact name | THOMAS FITZGERALD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
THOMAS FITZGERALD
PRESIDENT
3810 TORREY PINES WAY
SARASOTA FL 34238
JAMES CARVER
VICE-PRESIDENT
5020 119TH TERRACE EAST
PARRISH FL 34219
COLLEEN CARVER
SECRETARY
5020 119TH TERRACE EAST
PARRISH FL 34219
JENNIFER FITZGERALD
TREASURER
3810 TORREY PINES WAY
SARASOTA FL 34238
SHAUN SIMPSON
MEMBER AT LARGE
84 ARBOR OAKS DR
SARASOTA FL 34232-1753
| Organization’s website | WWW.TAKEMYLIFEBACK.ORG |
|---|---|
| Organization’s email | HELP@TAKEMYLIFEBACK.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/5/18 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment |
| Organization’s purpose | Charitable: No 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 | Yes |
| 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 | 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 | JAMES CARVER |
| Signature Title | VICE-PRESIDENT |
| Signature Date | 12/4/18 |
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