FORM 1023-EZ for ENGAGE364

Field Data
EIN 36-4937263
Case Number EO-2019182-000521
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ENGAGE364
Organization’s Mailing Address 16648 VALLELY DR
City TAMPA
State FL
ZIP 33618
Accounting period End 12
Primary contact name JAMIE RENEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One


CEO
16648 VALLELY DR
FL 33618

Officer/Director/Trustee Two

DON SMITH
BOARD CHAIR
16648 VALLELY DR
TAMPA FL 33618

Officer/Director/Trustee Three

JIM MORGAN
VICE CHAIR
16648 VALLELY DR
TAMPA FL 33618

Officer/Director/Trustee Four

VICTOR AVILA
TREASURER
16648 VALLELEY DR
TAMPA FL 33618

Officer/Director/Trustee Five

QUINCY BIRD
SECRETARY
16648 VALLELY DR
TAMPA FL 33618

Organization’s website WWW.ENGAGE364.ORG
Organization’s email JAMIE@ENGAGE364.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W70 - Leadership Development
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 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 DON SMITH
Signature Title BOARD CHAIR
Signature Date 6/27/19

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