FORM 1023-EZ for HOLLYWOOD ESTATES INC

Field Data
EIN 59-1902524
Case Number EO-2021231-000425
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOLLYWOOD ESTATES INC
Organization’s Mailing Address 4301 KIMBERLY CIRCLE
City MELBOURNE
State FL
ZIP 32904
Accounting period End 12
Primary contact name GEORGE DENSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GEORGE DENSON
PRESIDENT
522 KIMBERLY CIRCLE
MELBOURNE FL 32904

Officer/Director/Trustee Two

JOHN CARROLL
VICE PRESIDENT
532 JEAN CIRCLE
MELBOURNE FL 32904

Officer/Director/Trustee Three

DEBORAH HUMMELL
TREASURER
532 KIMBERLY CIRCLE
MELBOURNE FL 32904

Officer/Director/Trustee Four

ANN LAIHO
SECRETARY
507 KIMBERLY CIRCLE
MELBOURNE FL 32904

Officer/Director/Trustee Five

NANCY HILL
DIRECTOR
544 JENNIFER CIRCLE
MELBOURNE FL 32904

Organization’s website HOLLYWOODESTATES.WEEBLY.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/1979
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 No
Signature Name GEORGE DENSON
Signature Title PRESIDENT
Signature Date 8/18/2021

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