FORM 1023-EZ for SURFERS HELPING KIDS

Field Data
EIN 82-2243047
Case Number EO-2017206-000252
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SURFERS HELPING KIDS
Organization’s Mailing Address 582 CAPRI RD
City COCOA BEACH
State FL
ZIP 32931
Accounting period End 12
Primary contact name MARK REYNOLDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK REYNOLDS
CO-CHAIRMAN
582 CAPRI ROAD
COCOA BEACH FL 32931

Officer/Director/Trustee Two

DANIEL COLBURN
CO-CHAIRMAN
1030 S BREVARD AVE
COCOA BEACH FL 32931

Officer/Director/Trustee Three

STEPHEN POVILAITIS
DIRECTOR
303 WINSLOW CIR
COCOA BEACH FL 32931

Officer/Director/Trustee Four

EUSEF BEN MALIK
TREASURER
1029 S BREVARD AVE
COCOA BEACH FL 32931

Officer/Director/Trustee Five

ALAN DOBBS
DIRECTOR
5111 N SUWANNEE AVE
TAMPA FL 33603

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/18/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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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