FORM 1023-EZ for QUINCY MONTICELLO TALLAHASSEE DISTRICT INCORPORATED

Field Data
EIN 84-1873465
Case Number EO-2019225-000232
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name QUINCY MONTICELLO TALLAHASSEE DISTRICT INCORPORATED
Organization’s Mailing Address 40 SWEET STREET
City HAVANA
State FL
ZIP 32333
Accounting period End 12
Primary contact name CLIFFORD A HILL SR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLIFFORD HILL
DIRECTOR / CHAIRMAN
40 SWEET STREET
HAVANA FL 32333

Officer/Director/Trustee Two

LEE PLUMMER
VICE CHAIRMAN
8782 GAMBLE ROAD
MONTICELLO FL 32344

Officer/Director/Trustee Three

LATASHA JONES
SECRETARY
6058 ASHVILLE HIGHWAY
MONTICELLO FL 32344

Officer/Director/Trustee Four

CAROLYN HILL
TREASURER
5253 MADDOX ROAD
TALLAHASSEE FL 32303

Officer/Director/Trustee Five

JOHN PECK
ASSISTANT SECRETARY
602 JOINER ROAD
MONTICELLO FL 32344

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/19/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other 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 CLIFFORD HILL
Signature Title DIRECTOR / CHAIRMAN
Signature Date 8/9/19

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