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Detail by Entity Name
Florida Not For Profit Corporation
LEADERSHIP LEARNING CENTER AT SAINT JOHN BOSCO, INC.
InforrnatIon
Document Number N09000004284
FEI/EIN Number 26-4788070
Date Filed 04130/2009
State FL
Status ACTIVE
Principal Addrs.
1366 NW 1ST ST.
MIAMI, FL 33125
Changed: 05/06/2009
Mailiriq Address
1366 NW 1:ST ST,
MIAMI, FL 33125
Changed: 05/06/2009
Rocjistoro,d Agent Name & Address
FITZGERALD, J. PATRICK
110 MERRICK WAY SUITE 3-B
CORAL GABLES, FL 33134
Officer/Dfroctor Detail
Name & Address
Ttle PD
PAGUAGA, JUAN CREV.
1366 NW 1ST ST,
MIAMI, FL 33125
Title VPTD
VVORLEY, ELIZABETH SISTER
9401 BISCAYNE BLVD
MIAMI SHORES, FL 33138
Title SD
)://search.sanbiz.orglinquiry/CorporationSearch/SearchResultDetairTinquirytype=Entit„. 1/141201.6
Detail by Entity Nay
Paee 2
JEANTY, CHANEL REV.
9401 BISCAYNE BLVD
MIAMI SHORES, FL 33138
Annual Reports
Report Year Filed Date
2014 01/09/2014
2015 01/11/2015
2016 01/25/2016
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http://seareh.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype—Entit... /I 4/2016
Plea%e print or type
Form
N 9
iMassachusetts Substitute W- Fermi
Rev Aptil 2009
Completed form should be
given to the requesting
department or the department.
you are currently doing
business
Narr7e7,—Ciso legal name, iorM names. ilst fits) S, circle Ile name ol the t:ierson whose TIN you entaf 10 Pert I -See Specific Instruction on page 2'i
Request for Taxpayer
Identification Number and Certification
Bustness name, if stirrent from abovirf (See Specific Instruction on paw 2p
'V- ----A
Choreic the appropriate box) 0 Individual/Sole proprietor Eel Corporation 0 Partnership Other
) , Lestal Addre
eSs numbr, simet, arid apt, or iarao uo,
gfi Remittance Address if different irom legal addresa number street ard apt. Or
SUae no.
1131'5a ,",, .i i .vr r,strce I ;
.
. ...., _ ....,
cifilty,„„state and ZIP code Clty,, state and ZIP code
„„..........„.„...... .....)
Phoney ( titFa # Errint address tit ter, 't tni (Jr"'
Part 1I
Taxpayer Identification Number (TIN)
Enter 'your 1"IN in Urappropnate box. For indsidirals, this is your social
security RUrribef (SSrra),. However, for a resident ellen, 5614M proprietor, or
desire .ardited entity; see the Part I instruction on
page 2 For other eollties ls your ,ernolloyer identification number (BIN). If
yOUurha9t3 a number, slue How to get a TIN on page 2,
Note Pit ptpe account is in more rhan one raa-nle, see the chart or page 2 for
g/i119n71411105 1:91 1,01,0se ortmberefflet.
'Vendors;
Dunn and Bradstreet Universal Numbering System (DUNS)
Certification
Social security nurbber
OR
Employer identification number
"It
IDUMS
Under penalties of ow -jury, I certify that:
1, The number strewn on Iris lore) is my correct taxpayer ideolificatron nOrinbOr (Or I am waiting for a number to be israued to oneand
2. I am not stibiect to backup Withholding because: (a) 1 arn exempt from hacKup wi oloirrq o (b) have not been notified by the Internal Revenue
Services ()RS) Mat I am subject lo backup withholding as a result ol as failure 10 report at Interest Of cliiiiiclunds. or (c) tho IRS has notified roe. that
I am no WITH subject to backup withholding, and
3. I am U..S, person iincluding an l„),S, resident allen).,
4. II arri nurterilly a Commonwealth of Adassarbusens's state employee: (check one). No 'Yes If yes, DI compliance with die Stale Ethics
GIortarussion requirements,
Certification Instructions 'Fan must cross out item 2 above il lyou have lteen notified by the IRS that you are currently SI„lbject to backup withholding
because)you have tailed to reLport intesest and disisel!crls on Viur lax fna1e9i;21rie:lr:arisactions tilers 2 does notopy"..._
Sign
tutlykr , //
Here Authorized Signature 111- p , ttrr7,7/ ,/ , Date P.
,
Purpose of Form
A person who is required to file an Information
FelkOrt WUlt1 the IRS must get your exit -rent
taxi:over number ,1.1N1.10 report, for
example, inCelne paid tO yOu, real estate
uiansactions, mortgage interest you pai0.
acquisition or debt, or contributions you made fe
an IRA.
Use F01111 WA only it you are a U.S. person
(including. a resident alleni. to give your correct
TIN to the person, requesting it Ore requester)
and when, applIcable, 10
1, Certify the, TIN you are giving is correct (or
you are waiting for a number tO be issued
2„ Certify youare rot tattler) to backup
withholding
It you are a foreign person, use the
appropriate Form Wiva, See Pub 515,
Withholding 01 Tax ori Nonresident Afiens and
Foreino Corporations.
What is backup withholding? Persons making
certain payments to you must 'Mr/Mold a
deal:gni:deed percentage, currently 28% fine tray to
the IPS of such ozyme,ndi under certain
conintions. 'this is called 'backup withholding:
Payments that may 1)e stibiect to backup
withholding 'netts* interest dividends, but ker and
barter exchange transactions, rents, royalties,
norempkiyee pay, ;itrid certain payments Iroin
fi3ning Oual operators. Peal 031ate, Ira.nsactiags
are not subject to backi.ip withholding,
It you give lhe requester your iiiOrreel TIN, make
the proper certifications, and report all your
taxable interest and chviddnits, on veld tax return.
payments you receive will not be i0,ibp0ct to
backup withholding,. Payments you receive will
be subject to backup withholding IC
1. You to rital furnish 'your TIN to the
requester et
2, you rie not cerlity your TIN when required
isee the Peri 1 llMtUd;k3MS 0page, 2 'for
details), or
3flu 145 otto he regicester that you furnlsited,
an incorrect TIN or
4, The IRS tells you that you are subject le
backup withholding because you did not
report all your interest ace tevidersta only)), Or
5. You do not (1)04 to the requester that yoU are
not sublect 1.0 backup withholding under 4 above
(!or reportable interest ano dividend accounts
opened after '1.983 only),
Certain payees and payments are exempt tram
backup tviihholding. See the Pan II instruceons
on page 2,
Penalties
Failure to furnish TIN 1 you fall to furnish your
correct TINto a requester, you are subject lo a
penalty of SI50 for each such lailere unless your
failure is due to reasonable caUSe and not lo
wiliful neglect,
Civil penalty for false information with respect
to withholding it you make i false statement
with no reasonable Pasils that results In nobackup
withholding, you are stilieci to a $5.82 penally
Criminal penalty for falsifying Information
falsifying cerillIcations or ,atermations
may subiect you, to criminal penalties including
fines at,!roimprisonment
Misuse of T1Na It the requester discloses or uses
TINS nviolation of Federal law, the requester may
he subject to iavil andiicriminatpenallies,
4icem MA- W-9 (Rev, April 2009j
DEPARTmEN1
REVENur
as-ao 1 51 89484G-9
Gate NIumber
This certifies that
Issued Pursuant to Chapter 212, Florida Statutes
06/02/2014
Effective Date --
LEADERSHIP LEARNING CENTER AT SAINT
JOHN BOSCO INC
1366 NW 1ST ST
MIAMI FL 33125-5603
06/30/2019
Lxpiration pate
DR-14
R. 041-11
is exempt from the payment of Florida sales and use tax on reel propertyted, transient rental property rented, tangible
personal property purchased or rented, or services purchased,
OfipArtimENT
OF REVENUE
1. You must provide all vendors and suppliers with an exemption certifocate
See Rule 12A-1.038, Florida Administrative Cone (FA C.)
bef
OR-14
R. 04111
rnakng tax-exempt purchases.
2. Your Consumer's Certificate ot Exemption is to be used solely by your organization for your organization's
customary nonprofit activities.
Purchases made by an individual on behalf of 'the organization are taxable, even if the individual will be
reimbursed by the organization.
4. This exemption applies only io purchases your organization makes. The sale or lease to others of tangible
personal property. sleeping accommodations, or other real property is taxable. Your o anization rnust register.
and collect and remit sales and use tax on such taxable transactions. Note. Churches are exempt from this
requirement except when they are the lessor of real property (Rule 12A-1.070, FA,C.).
5, It is a criminal °tense to fraudulently present this certificate to evade the payment of sales tax. Under no
circumstances should this certificate be used for the personal benefit of any individual. Violators will be liable for
payment of the sales tax plus a penalty of 200% of the tax. and may be subject to conviction of a third-dzee
felony. Any violation will recuire the revocation of this certificate.
6. If you have questions regarong your exemption certificate, please contact the Exemption Unit of Account
Management at 800-352-3671. From the available options, select "R istration of Taxes," then "Registration
Information,' and finally "Exemption Certificates and Nonprofit Entities." The mailing address is PC Box 6480,
-Tallahassee, FL 32314-6480