FORM 1023-EZ for MULTI-AGENCY HOMELESS TASKFORCE CORP

Field Data
EIN 82-2371989
Case Number EO-2019092-000405
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MULTI-AGENCY HOMELESS TASKFORCE CORP
Organization’s Mailing Address PO BOX 15923
City PLANTATION
State FL
ZIP 33318
Accounting period End 12
Primary contact name LAURYN CHARLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDWARD RAFAILOVITC
PRESIDENT
2601 W BROWARD BLVD
FT LAUDERDALE FL 33312

Officer/Director/Trustee Two

PAUL KOSTICK
VICE PRESIDENT
5790 MARGATE BLVD
MARGATE FL 33063

Officer/Director/Trustee Three

ANDREW FELDMAN
CO-CHAIR
9500 PINES BLVD
PEMBROKE PINES FL 33024

Officer/Director/Trustee Four

AARON SMITH
TREASURER
400 S FEDERAL HWY
HALLANDALE FL 33009

Officer/Director/Trustee Five

MARLA FERRY
SECRETARY
2801 CORAL SPRINGS DRIVE
CORAL SPRINGS FL 33065

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L01 - Alliance/Advocacy Organizations
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 EDWARD RAFAILOVITC
Signature Title PRESIDENT
Signature Date 3/30/19

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