FORM 1023-EZ for AFTERSCHOOL SCHOOL INC

Field Data
EIN 51-0534835
Case Number EO-2016032-000379
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AFTERSCHOOL SCHOOL INC
Organization’s Mailing Address 912 N 21 STREET
City FORT PIERCE
State FL
ZIP 34950
Accounting period End 12
Primary contact name DONNIE CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILLIE MAE CLARK
CEO
5912 SPRING LAKE TERRACE
FORT PIERCE FL 34951-3111

Officer/Director/Trustee Two

DONNIE CLARK
TREASURER/CFO
5912 SPRING LAKE TERRACE
FORT PIERCE FL 34951-3111

Officer/Director/Trustee Three

VICKI SEYMOUR
SECRETARY
5941 SPANISH RIVER ROAD
FORT PPIERCE FM 34951-2896

Officer/Director/Trustee Four

ARNDREA BLATCH
DIRECTOR
3401 AVENUE K
FORT PIERCE FL 34947-2349

Officer/Director/Trustee Five

JANE INGRAM
DIRECTOR
3600 AVENUE K
FORT PIERCE FL 34947-2370

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/28/2004
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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