FORM 1023-EZ for OVARIAN CANCER SUPPORT GROUP OF POLK COUNTY FLORIDA INC

Field Data
EIN 81-2705205
Case Number EO-2016286-000279
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OVARIAN CANCER SUPPORT GROUP OF POLK COUNTY FLORIDA INC
Organization’s Mailing Address 6842 HARTSWORTH DR
City LAKELAND
State FL
ZIP 33813-0800
Accounting period End 12
Primary contact name JOHN T VONESH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROL VONESH
PRESIDENT
6842 HARTSWORTH DR
LAKELAND FL 33813-0800

Officer/Director/Trustee Two

KARLA VOORHEES
VICE PRESIDENT
751 DURANGO LOOP STREET
DAVENPORT FL 33897

Officer/Director/Trustee Three

JOHN VONESH
TREASURER
6842 HARTSWORTH DR
LAKELAND FL 33813-0800

Officer/Director/Trustee Four

COY SPIVEY
SECRETARY
1005 COUNTRY OAKS LANE
LAKELAND FL 33810

Officer/Director/Trustee Five

LENA STRICKLAND-SHAVER
DIRECTOR
6339 TIERRA VISTA CIRCLE
LAKELAND FL 33813

Organization’s website
Organization’s email OVCASGROUP.POLKFL@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 No
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 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
Signature Title
Signature Date

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