FORM 1023-EZ for APHASIA COMMUNITY CENTER INC

Field Data
EIN 83-2356579
Case Number EO-2018313-000064
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name APHASIA COMMUNITY CENTER INC
Organization’s Mailing Address PO BOX 693
City SARASOTA
State FL
ZIP 34230
Accounting period End 6
Primary contact name DONNA POLELLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONNA POLELLE
PRESIDENT, DIRECTOR
1102 BEN FRANKLIN DR APT 511
SARASOTA FL 34236

Officer/Director/Trustee Two

ARLENE CRISOSTOMO OKAWA
SECRETARY, DIRECTOR
2325 SONOMA DR W
NOKOMIS FL 23275

Officer/Director/Trustee Three

ERIKA BOYLE
TREASURER, DIRECTOR
5899 OLD SUMMERWOOD BLVD
SARASOTA FL 34232

Officer/Director/Trustee Four

GENE KAPICA
DIRECTOR
218 CHARLEY BRIAN RD
ONA FL 33865

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 DONNA POLELLE
Signature Title PRESIDENT, DIRECTOR
Signature Date 11/7/18

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