FORM 1023-EZ for LEVIS BLESSINGS INCORPORATED

Field Data
EIN 83-4318806
Case Number EO-2019107-000071
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEVIS BLESSINGS INCORPORATED
Organization’s Mailing Address 2163 SOUTH 14TH STREET
City FERNANDINA BEACH
State FL
ZIP 32034
Accounting period End 12
Primary contact name GARLAND STAFFORD JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARLAND STAFFORD JR
PRESIDENT
2163 S 14TH ST
FERNANDINA BEACH FL 32034

Officer/Director/Trustee Two

LAURA STAFFORD
VICE PRESIDENT
2163 S 14TH ST
FERNANDINA BEACH FL 32034

Officer/Director/Trustee Three

LEON FREEMAN
OFFICER
95173 SPRINGHILL RD
FERNANDINA BEACH FL 32034

Officer/Director/Trustee Four

KIMBERLY WILLIS
OFFICER
86026 CALLAWAY COURT
YULEE FL 32034

Organization’s website
Organization’s email LEVISBLESSINGS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 Yes
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 GARLAND STAFFORD JR
Signature Title PRESIDENT
Signature Date 4/15/19
EIN 83-4318806
Case Number EO-2019107-000071
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEVIS BLESSINGS INCORPORATED
Organization’s Mailing Address 2163 SOUTH 14TH STREET
City FERNANDINA BEACH
State FL
ZIP 32034
Accounting period End 12
Primary contact name GARLAND STAFFORD JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARLAND STAFFORD JR
PRESIDENT
2163 S 14TH ST
FERNANDINA BEACH FL 32034

Officer/Director/Trustee Two

LAURA STAFFORD
VICE PRESIDENT
2163 S 14TH ST
FERNANDINA BEACH FL 32034

Officer/Director/Trustee Three

LEON FREEMAN
OFFICER
95173 SPRINGHILL RD
FERNANDINA BEACH FL 32034

Officer/Director/Trustee Four

KIMBERLY WILLIS
OFFICER
86026 CALLAWAY COURT
YULEE FL 32034

Organization’s website
Organization’s email LEVISBLESSINGS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 Yes
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 GARLAND STAFFORD JR
Signature Title PRESIDENT
Signature Date 4/15/19

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