FORM 1023-EZ for 242 GIVE BACK INC

Field Data
EIN 84-2525366
Case Number EO-2019210-000485
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 242 GIVE BACK INC
Organization’s Mailing Address 5151 ALGERINE PLACE
City WESLEY CHAPEL
State FL
ZIP 33544
Accounting period End 12
Primary contact name JASON EDWARDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON EDWARDS
PRESIDENT / CHAIRMAN
5151 ALGERINE PLACE
WESLEY CHAPEL FL 33544

Officer/Director/Trustee Two

TAVIS MYRICK
ADVISOR
5151 ALGERINE PLACE
WESLEY CHAPEL FL 33544

Officer/Director/Trustee Three

MARGARET CAMPBELL
TREASURER
5151 ALGERINE PLACE
WESLEY CHAPEL FL 33544

Officer/Director/Trustee Four

VALENTINO HART
ADVISOR
5151ALGERINE PLACE
WESLEY CHAPEL FL 33544

Organization’s website
Organization’s email 242GIVEBACK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P72 - Half-Way House (Short-Term Residential Care)
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 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 JASON EDWARDS
Signature Title PRESIDENT / CHAIRMAN
Signature Date 7/26/19

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