FORM 1023-EZ for BAYO SHELTER

Field Data
EIN 27-1503822
Case Number EO-2015050-000012
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BAYO SHELTER
Organization’s Mailing Address 7848 S FEDERAL HIGHWAY SUITE 218
City PORT SAINT LUCIE
State FL
ZIP 34952
Accounting period End 12
Primary contact name EMMANUEL PHILOGENE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EMMANUEL PHILOGENE
PRESIDENT
2466 SW AGUS AVE
PORT SAINT LUCIE FL 34953

Officer/Director/Trustee Two

EUGENE FRANCIS
SECRETARY
614 SE TORNHILL DR
PORT SAINT LUCIE FL 34983

Officer/Director/Trustee Three

MANESE JEANLOUIS
TREASURER
1140 SW HUTCHINS STREET
PORT SAINT LUCIE FL 34983

Officer/Director/Trustee Four

JOSEPH SAINVISTAL D
VICE PRESIDENT
1100 153 TERR
NORTH MIAMI FL 34963

Officer/Director/Trustee Five

LOUIS VICTOR Y
ASSISTANT SECRETARY
755 SE AIROSO
PORT SAINT LUCIE FL 34983

Organization’s website WWW.BAYOSHELTER.ORG
Organization’s email INFO@BAYOSHELTER.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/2009
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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