FORM 1023-EZ for XCEPTIONAL FRIENDS INC

Field Data
EIN 83-2566812
Case Number EO-2019031-000879
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name XCEPTIONAL FRIENDS INC
Organization’s Mailing Address 23410 WHITE MAGNOLIA PLACE APT 204
City LUTZ
State FL
ZIP 33549-6934
Accounting period End 12
Primary contact name JOAN TUCKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOAN TUCKER
PRESIDENT
23410 WHITE MAGNOLIA PL APT 204
LUTZ FL 33549-6934

Officer/Director/Trustee Two

KATHANELL GRIFFIN
V. PRESIDENT
10432 FLY FISHING STREET
RIVERVIEW FL 33569-2734

Officer/Director/Trustee Three

MARY JANE HENRY
DIRECTOR
9215 MORRIS BRIDGE ROAD
TEMPLE TERRACE FL 33637-5105

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
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 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 JOAN TUCKER
Signature Title PRESIDENT
Signature Date 1/7/19

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