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HomeMy WebLinkAboutCorporate DetailDetail by Entity Name Page 1 al 3 Dotafl by E tity a rn e Florida Not For Profit Corporation MULTI -ETHNIC YOUTH GROUP ASSOCIATION, INC ilipilInforrnation Document Number N01000003909 FEIIEIN Number 65-0889462 Date Filed 06/0512001 State FL Status ACTIVE Last Event CANCEL ADM DISSIREV Event Date Filed 11/16/2004 Event Effective Date NONE Prpal A ddlesA 6304 NW 14 AVENUE fV1INVII, FL 33147 Changed: 09/30/2014 MailimAddress 6304 N.W 14 Avenue MIAMI, FL 33147 Changed, 04/28/2014 f=!eciLisl,plati Agent tfame & Address QUARTERMAN SAMANTHA 6304 NW 14 Avenue MIAMI, FL 33147 Address Changed 08/28/2015 Officer/Director Detail Name & Address Title Executive DIrector QUARTERMAN, SAMANTHA 6304 NW 14 AVENUE MIAMI, FL 33147 Title President http://searc - .nbiz.orgth. itry/CorporationSearch/Searchr etall?inquiryty 11/14/2016 DetailI y Entity Name Page 2 of 3 Jackson, Marvin 6304 NW 14 AVENUE MIAMI, FL 33147 Title Secretary BELLAMY, JOAN 6304 NW 14 AVENUE MIAMI FL 33147 Title Treasurer Santangelo, Pat 6304 NW 14 AVENUE MIAMI, FL 33147 Title VP Mayor, Doug 6304 NW 14 AVENUE MIAMI, FL 33147 n, on y:41' ports.;.. Report Year Filed Date 2015 03/04/2015 2015 080842015 2016 02/09/2016 Docuinente. yu--------.----uu^-n.- - % ( Hrd. %r" rl'4% Huna% httpliseareh.suo • T/Inquiry/CorporationSearchISearehl esultDetair?inquirytypez,Entit... I. I /14/2016 Detail by Entity Name Page 3 of 3 http://search.sunbiz.org/lnquiry/CorporationSearch/SearchKesultDetail?inquirytype=Entit... 1/14/2016 Foci ri (Poo. December: 2014) Department of the Treasury Internal:Revenue Service Narne (as shown on your income tox, retool}. Nat:nets required on this lira; do not ieuve Olio lino blank. Multi -Ethnic Youth Group Association Inc, Request for Taxpayer Identification Number and Certification Ciusinesa nemei.'disregiaded entity nerne7,11 oaferent fr;;; nbuye 3 Check *prat:slatc ede'a ax classificationt check only ode of the following 'Eleven boxes: El IndcluaVsele proprietor or RI C Ccipekoticgt S Corr:cration Partnership 0 Trost/estate singtemernber LJ LirritWI liability company Enter Ole tax ckissification. (C-C ocrrx.iralon, SS corporeliort, Pmparinership)ik: Note. For a eIngle-member LLC that is disregarded, do not oheck 1.1.C: check the appropriate aox In the Vine above for the tax ctusslficallon of the sIngle-member DWIlEf [1Ott er (see instructions) IP 5 Add ass (number, shoutand apt. or suite rtc,) 304 N.W 14 Avenue Crty. state, and 7.1P code FL 33147 numbei)s) mete toPhorlar) Taxpayer Identification Numb& (TIN) Give Form to the requester. Do not send to the IRS, Exemptions (codes apply only to certain entnies, not individuals; .see instructions on page 3): Exempt payee code (I any) Exemption Iron FATCA reporting code (if ony) 00,011,0 4,1`00011 mame..ed Nwetiac aixiarforess Ergo( your riN in the appropriate box. The TIN provided must match the name given on fine 1 to avoid backup withholding, For Individuals, thls Is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part ll instructions on page 3. For other entities, it, is your employer identification number ,(EIN). If you do not have a number, see How tO get a TIN en page 3, Note. If the account Is In more than one name, see the instructions fur lino 1 and the chart on page 4 tor guidetines on whose number to enter. Potod Certification Social sextenty number or 1 En ployer identhcation nurnber 5 Under penalties of perjury, certify that: 1, The number shown on this form is my correct taxpayer id er W:cation nun tber (or I ern waiting for a number 10 Inn i...a'skres1 to inla); and 2,, I am not subject te backup withholding Oeceuse: (a) I arn exempt front Oackup withholding, or (b) I riave not been riotifierif by the Internal Revenue St.nvice (I115,1 that I am subject to backup withholding as e result of a (ailure to report all interest or dividends, or (c) the IRS has noti(led rne that arrr no longer subject to backup withholding: and 3. :arn a U.S. citizen or other U.S. person (defined below) and 4 The FATCA coOe(s) entered on this form (It any) Indicating that 1 urn exempt (Win FATCA reporting Is correct, CertIticatIon Instructions. You must cross out item 2 above If you have been notified by the IRS that you are currently sub'(ect to backup withholding because you have failed to repot all interest and dividends Ion your tax return. For real estate transactions, item 2 does rid apply. For mortgage intuest paid, acquisiten or abandonment of secured property, cencetlation of debt, contributions to an individual „retirement arrangement ORA), and gen„arally, payments otnor than intere5t and dividends, you are not required to sign the certification, but you roust provide your correct TIN. See the r”3tructions on page 3. Sign signature of Here u person I. General Instructions Section reftrences are to the Internal Rexerrue Code unless otherwise noted. Future dev 310pateil13 Information alOOLut developments affecting rode w.9 (soch xs lit,4)istation enacted after we release itY in at www.tisciovinw9. Purpose of Form Art )ndivalual or entity (Four! W-9 requostor) who is required to file an ,ritorrnetion 041,00 with the OAS must obtain your correct taxpayer Identification number (f IN) urrhItth miry be your social securhy number (SSN), individual taxpayer Udeuthficalion number lITUO,11, adoption taxpayer idemilication number (ATIFil), or emputoyer identification number (EIN), to report on an information return tne amount paid to you, or other amount raportaVe On an information return, Er...in:epics of information relerns Include, but are not !linked t©, the following:: • Form rrf0-1N II- (interest earned or pad) harm ibOta DIV (dividends, Includingithooe froin ctoclurs ,9,0.4,a1 (undo) • Form 1099,MISC (Yar,cus types of Income, odzes, awalds, or gross prober:Kist • Form 1099-8 (stook or mutual fund sales and certain other transaction; by • Form 1099i13 iproct eeds from real ('nfate traretact lona) • Form 1099-K (merchant card and third party network transactions) Late 0( • Form 1099 (home mortgage intoact), 1900.E (student loan Interest), 1099-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition of abandonment of secured properly) Use Form VV-9 only 1 you are a 1,1.5. person (Including a resident atien), to provide your correct If you do, nor return Form YV-9 to the mouesrer wilt, a T)N, you intent be suofect to backup withhokliog. See kVtiat ro bnckop wirhhokling,? on page 2. ay signing the filled out form, you: 1. Ccnity that the TIN you aro guying is ccrrect for you we wading for a number to be issue4 2. Cerley thal you are not subject to backup million:Jog. on 3. Claim exempton Iro-n backup wilhr.oldIng If you are o U,S, exempt payee11 APPOIC'Nbie, you dire also certifying that as a U.S, person your allocable snare of any partnership income from U.S, UNA) of buurnem IS 110110.4.40e;`, to the withholding tax on foreign partnerssham of effectively connected income, and 4, Certify tha1FATCA code(a) entered on this form airy) Indicating that you are exempt from the FATCA reponirug, rts cfxrev Sr'e 'Wrier us FATCA (67X)rifog7 or) Paqe 2 for further information, Cat No 19221X Forrrr W-9. (Rev 12-2014)