FORM 1023-EZ for LAKE COUNTY MISSIONS THRIFT STORE INC

Field Data
EIN 84-2401599
Case Number EO-2019220-000095
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE COUNTY MISSIONS THRIFT STORE INC
Organization’s Mailing Address 415 N GROVE ST
City EUSTIS
State FL
ZIP 32726
Accounting period End 12
Primary contact name ROY PETERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROY PETERS
PRESIDENT
415 N GROVE STREET
EUSTIS FL 32726

Officer/Director/Trustee Two

WILBUR RILEA
TREASURER
3600 52ND STREET
OCALA FL 34480

Officer/Director/Trustee Three

LEONARD EDWARD WHEELER
SECRETARY
521 W SEMINOLE AVENUE
EUSTIS FL 32726

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P29 - Thrift Shops
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 No
Correctness Declaration Yes
Signature Name ROY PETERS
Signature Title PRESIDENT
Signature Date 8/6/19

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