FORM 1023-EZ for SCOTTY D CHARITIES INC

Field Data
EIN 83-1104678
Case Number EO-2018186-000435
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SCOTTY D CHARITIES INC
Organization’s Mailing Address 12231 MAIN STREET UNIT 1196
City SAN ANTONIO
State FL
ZIP 33576
Accounting period End 12
Primary contact name MIRANDA FAULKNER SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID S GRANT
PRESIDENT
12231 MAIN STREET UNIT 1196
SAN ANTONIO FL 33576

Officer/Director/Trustee Two

JACKIE GRANT
VICE PRESIDENT
12231 MAIN STREET UNIT 1196
SAN ANTONIO FL 33576

Officer/Director/Trustee Three

MIRANDA FAULKNER SMITH
SEC/TRES
12231 MAIN STREET UNIT 1196
SAN ANTONIO FL 33576

Organization’s website
Organization’s email MFAULKNER@HELPMEIMAGINE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/29/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I20 - Crime Prevention 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MIRANDA FAULKNER SMITH
Signature Title SEC/TRES
Signature Date 7/3/18

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