FORM 1023-EZ for AGAPE PEER SERVICES INC

Field Data
EIN 84-4842187
Case Number EO-2020065-000284
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AGAPE PEER SERVICES INC
Organization’s Mailing Address 1503 HAGGERTY WAY
City TALLAHASSEE
State FL
ZIP 32317
Accounting period End 12
Primary contact name CHAD HOLLIDAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAD HOLLIDAY
FOUNDER AND REGISTERED AGENT
1503 HAGGERTY WAY
TALLAHASSEE FL 32317

Officer/Director/Trustee Two

MELISSA WRIGHT
TREASURER
1503 HAGGERTY WAY
TALLAHASSEE FL 32317

Officer/Director/Trustee Three

DUSTY MERTZ
BOARD MEMBER
1503 HAGGERTY WAY
TALLAHASSEE FL 32317

Officer/Director/Trustee Four

SEAN WYMAN
BOARD MEMBER
1503 HAGGERTY WAY
TALLAHASSEE FL 32317

Officer/Director/Trustee Five

ANDY DAWSON
BOARD MEMBER
1503 HAGGERTY WAY
TALLAHASSEE FL 32317

Organization’s website AGAPEPEERSERVICE.COM
Organization’s email CHOLLIDAY72@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/7/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 CHAD HOLLIDAY
Signature Title FOUNDER AND REGISTERED AGENT
Signature Date 3/3/2020

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