FORM 1023-EZ for SCRIPT ASSIST INC

Field Data
EIN 81-4692797
Case Number EO-2016358-000272
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SCRIPT ASSIST INC
Organization’s Mailing Address 2711 CLEARLAKE RD STE C-10
City COCOA
State FL
ZIP 32922
Accounting period End 12
Primary contact name DAWN BUTTERFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAWN BUTTERFIELD
PRESIDENT, DIRECTOR
2144 H R LANE
COCOA FL 32926

Officer/Director/Trustee Two

VALERIE NAHAY
SECRETARY, DIRECTOR
356 GOLFVIEW RD STE 408
NORTH PALM BEACH FL 33408

Officer/Director/Trustee Three

MARIA MORSE
TREASURER, DIRECTOR
4442 BOWMORE PL
MELBOURNE FL 32940

Officer/Director/Trustee Four

ALISON TWEED
DIRECTOR
5015 EDINBOROUGH
GREENSBORO NC 27406

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/9/2016
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: 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 Yes
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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