FORM 1023-EZ for GOODWORKS FOUNDATION INC

Field Data
EIN 85-0554187
Case Number EO-2020092-000158
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOODWORKS FOUNDATION INC
Organization’s Mailing Address 1110 N PALAFOX ST
City PENSACOLA
State FL
ZIP 32501
Accounting period End 12
Primary contact name JASON R MOSLEY ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARON SJOBERG
DIRECTOR
1807 N 20TH AVE
PENSACOLA FL 32503

Officer/Director/Trustee Two

FREDDIE HAYDN-SLATER
DIRECTOR
814 N 13TH AVE
PENSACOLA FL 32501

Officer/Director/Trustee Three

LISSA DEES
DIRECTOR
5386 MARANTHA WAY
PACE FL 32571

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/7/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S41 - Promotion of Business
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 CARON SJOBERG
Signature Title DIRECTOR
Signature Date 3/30/2020

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