FORM 1023-EZ for EARS OF SW FLORIDA INC

Field Data
EIN 81-1927546
Case Number EO-2016089-000275
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EARS OF SW FLORIDA INC
Organization’s Mailing Address 3323-E14 NORTH KEY DR
City NORTH FORT MYERS
State FL
ZIP 33903
Accounting period End 12
Primary contact name NATASHA CULAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NATASHA CULAR
P
5849 SANDBURG DR
NORTH FORT MYERS FL 33903

Officer/Director/Trustee Two

JAMIE KEARSE
VP
1244 GROVE ST
CLEARWATER FL 33755

Officer/Director/Trustee Three

CHRISTOPHER FLAKE
S
314 NE 19TH PL
CAPE CORAL FL 33903

Officer/Director/Trustee Four

ALAIN LACASSE
T
661 DIXON RD
VENICE FL 34292

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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