FORM 1023-EZ for SRQLAX INC

Field Data
EIN 47-2044510
Case Number EO-2015078-000318
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SRQLAX INC
Organization’s Mailing Address 1718 KENILWORTH ST
City SARASOTA
State FL
ZIP 34231
Accounting period End 12
Primary contact name RACHEL A HAUTAMAKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RACHEL HAUTAMAKI
PRESIDENT
1718 KENILWORTH ST
SARASOTA FL 34231

Officer/Director/Trustee Two

MONICA SERINO
TREASURER
1718 KENILWORTH ST
SARASOTA FL 34231

Officer/Director/Trustee Three

MELISSA DELISSER
SECRETARY
1718 KENILWORTH ST
SARASOTA FL 34231

Organization’s website
Organization’s email RRUSTIA@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/2014
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
Signature Title
Signature Date

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