FORM 1023-EZ for PALM BEACH COUNTY FIREFIGHTERS HONOR GUARD INC

Field Data
EIN 30-1245981
Case Number EO-2020302-000442
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PALM BEACH COUNTY FIREFIGHTERS HONOR GUARD INC
Organization’s Mailing Address 405 PIKE RD
City WEST PALM BEACH
State FL
ZIP 33411-3815
Accounting period End 12
Primary contact name STEEN ERIKSSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEEN ERIKSSON
DIRECTOR
4330 ELM AVE
PALM BEACH GARDENS FL 33410-2127

Officer/Director/Trustee Two

SHAWN NIEDBALSKI
ASSISTANT DIRECTOR
405 PIKE RD
WEST PALM BEACH FL 33411-3815

Officer/Director/Trustee Three

BRADLEE DOERZBACHER
ASSISTANT DIRECTOR
405 PIKE RD
WEST PALM BEACH FL 33411-3815

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 STEEN ERIKSSON
Signature Title DIRECTOR
Signature Date 10/26/2020

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