FORM 1023-EZ for WAT BLACK FAMILY ADOPTION ASSISTANCE INC

Field Data
EIN 84-4898359
Case Number EO-2020062-000475
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WAT BLACK FAMILY ADOPTION ASSISTANCE INC
Organization’s Mailing Address 460 MEADOWOOD BLVD
City FERN PARK
State FL
ZIP 32730-2969
Accounting period End 12
Primary contact name AARON JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AARON JOHNSON
PRESIDENT
460 MEADOWOOD BLVD
FERN PARK FL 32730-2969

Officer/Director/Trustee Two

GUYLANDO MORENO
TREASURER
460 MEADOWOOD BLVD
FERN PARK FL 32730-2969

Officer/Director/Trustee Three

TANISIA MOORE
SECRETARY
460 MEADOWOOD BLVD
FERN PARK FL 32730-2969

Organization’s website
Organization’s email A_MENJOHNSON@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
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 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 AARON JOHNSON
Signature Title PRESIDENT
Signature Date 2/28/2020

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