FORM 1023-EZ for BLACK STARS JUNIOR SENIOR VETERAN INC

Field Data
EIN 82-2614945
Case Number EO-2017279-000279
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLACK STARS JUNIOR SENIOR VETERAN INC
Organization’s Mailing Address 607 RICHMOND AVE NORTH
City LEHIGH ACRES
State FL
ZIP 33972
Accounting period End 12
Primary contact name JOSEPH SMITH M
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH SMITH
PRESIDENT
607 RICHMOND AVE NORTH
LEHIGH ACRES FL 33972

Officer/Director/Trustee Two

YVON HIVE
VICE PRESIDENT
1005 ANSON AVE
LEHIGH FL 33971

Officer/Director/Trustee Three

PIERRE DOLET
TREASURE
421 POINSETTIA
LEHIGH ACRES FL 33972

Officer/Director/Trustee Four

PENEIL ADOLPHE
SECRETARY
752 DEMOREST AVE
LEHIGH ACRES FL 33974

Officer/Director/Trustee Five

GENEIL JACOTIN
MEDIA
802 FELIX AVE
LEHGIH ACRES FL 33971

Organization’s website NO
Organization’s email JOSEPHSMITH738@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
Organization’s purpose Charitable: No
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 Yes
One Third Support Gifts No
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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