FORM 1023-EZ for ADJUST YOUR CROWN SIS
| Field | Data |
|---|---|
| EIN | 86-2408411 |
| Case Number | EO-2021099-000408 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ADJUST YOUR CROWN SIS |
| Organization’s Mailing Address | 200 SW MARTIN LUTHER KING BLVD |
| City | BELLE GLADE |
| State | FL |
| ZIP | 33430 |
| Accounting period End | 3 |
| Primary contact name | HENREITTA BRYANT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
HENREITTA BRYANT
PRESIDENT/ DIRECTOR 1
314 CARISSA DR
PAHOKEE FL 33476
Officer/Director/Trustee Two
ZETTA DAVIS
DIRECTOR 2
317 NE 6TH STREET
BELLE GLADE FL 33430
Officer/Director/Trustee Three
NICOLE SPEAR
VICE SPEAR
8729 DOVE LAND DRIVE APT B
PAHOKEE FL 33476
Officer/Director/Trustee Four
JACQUELINE WATSON
TREASURER
507 PREWITT VILLAGE
BELLE GLADE FL 33430
Officer/Director/Trustee Five
ANGLE STEWARD
SECRETARY
109 NW AVE K
BELLE GLADE FL 33430
| Organization’s website | |
|---|---|
| Organization’s email | ADJUSTYOURCROWNSIS@YAHOO.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/4/2021 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T19 - Nonmonetary Support 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 | HENREITTA BRYANT |
| Signature Title | PRESIDENT/ DIRECTOR 1 |
| Signature Date | 3/18/2021 |
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