FORM 1023-EZ for GOUTE SPIRITUEL

Field Data
EIN 86-2384413
Case Number EO-2021098-000221
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOUTE SPIRITUEL
Organization’s Mailing Address 1311 SW 22ND AVE
City DELRAY BEACH
State FL
ZIP 33445
Accounting period End 12
Primary contact name JEAN PETERSON PETERSON EXILAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEAN PETERSON EXILAS
PRESIDENT
1311 SW 22ND AVE
BOCA RATON

Officer/Director/Trustee Two

JOHNY JN LOUIS
VP
638 NW 13TH ST APT 23
BOCA RATON FL 33486

Officer/Director/Trustee Three

JEAN GETEAU ADELSON
VP
723 AVENUE CHAUMONT
DELRAY BEACH FL 33445

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Donation of funds No
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 JEAN PETERSON EXILAS
Signature Title PRESIDENT
Signature Date 3/17/2021

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