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Home My WebLink AboutCorporate DetailDetail by Entity Name Page 1 of 3 Detail by Entity Name Florida Not For Profit Corporaton EASTER SEALS SOUTH FLORIDA, IINC. Information Document Number 714329 FEI/EIN Number 59-0722783 Date Filed 03/26/1968 State FL Status ACTIVE Last Event CANCEL ADM DISS/REV Event Date Filed 10/29/2007 Event Effective Date NONE Principal Addiess 1475 N W 14TH AVENUE MIAMI, FL 33125-1616 Changed: 01/2112016 Mailing Address 1475 N W 14TH AVENUE MIAMI, FL 33125-1616 Changed 01/21/2016 Registered Agent Name & Address CHANT, LOREEN 1475 NW 14TH AVE MIAMI, FL 33125 Name Changed: 01/21/2016 Address Changed: 01/21/2016 Officer/Director Detail Name & Address Title PRES CHANT, LOREEN 1475 N W 14TH AVENUE MIAMI FL 33125-1616 yllsearch.sunbiz,orglInquiry. .):•71orationSearch/Searel 'estiltDetail?inquirytype—Entit_ 1 Il14/2016 Detail by Entity Narne Page 2 of' 3 Tile CH DE CARDENAS, ALBERTO 800 DOUGLAS RD 12th FL CORAL GABLES, FL 33133 Tulle VCH BARKUS, DAVID 2000 S. BAYSHORE DR. #63 MIAMI, FL 33133 Title TREA GALLO-AQUINO CRISTINA 11690 NW 105th ST MIAMI FL 33178 Title SEC TUNDIDOR, HECTOR 201 S BISCAYNE BLVD. #3000 MIAMI, FL 33133 Title P CH FATOVIC, ROBERT 11690 NW 105th ST MIAMI, FL 33178 An nuaA Repo rts Report Year Filed Date 2014 01/30/2014 2015 01/06/2015 2016 01/21/2016 DocumentFIT•oge D t'arrnat. • ,o orrnat • bnacje. 1.orinat . . • ,1•• PDF" hap://search..sunbiz.org/Inquiry/CorporationSearehiSearehkesult.Detail?inquirytype=finf'%., I/ .4/20. 6 Detail by Entity Name Page 3 of 3 wfir 1,11 fomV)1 1, POI' 101rinl ro,,,Hvo o Y, .http://search...sunb'Lorg .nquiry/CorporationSeareh/SearehResultDetail7inquirytype=lmit... I. If 14/201.6 Form (Bev. December 201 Deportment of the Treasury internal Benue Service Request for Taxpayer Identification Number and Certification or a 0 8 g 1 Na.me (as shown on your ncome tax return). Name i5 required on this line; do not leave this line blank. EASTER SEALS SOUTH FLORIDA INC, 2 Business naMP/disreder:ded entity name,f different from above Give Form to the requester. Do not send to the IRS. 3 Check appropriate box l0r federal tax olasslfie'atiore ctheck onty one of the following seven boxes: 11 Individual/solo proprietor or [71 C Carporation 1.1 S CorpOration 17.1 Partnership 111 ['rust/estate sibgle-Membor I,LC Limited liability company, Enter the tax. classificatron (Cr=C corporation, SrrrS corTrorzittort, Prr-partnersr Note, For 50111 yonsmljel 11 C that is disregarded, do nut check LLC: check Me appropriate box in the irne above for the tax 4"511155ification of the single -member owner L=I Other (see instructions)* 5 Address firninber, streol, ,and apt. or suite no.) 1475 NW 14TH AVENUE 6 5rly, stale, and ZIP coda MIAMI, FL 33125 7 List account mornber(s) here optional) Rrraluestees name 4 Exemptions (codes, apply only to certain entities, not individuals; see instructions on page 31r Exempt payee code (if ony) 5 Exemption from Fxrc.A. reporting code lif any) accuards mirtfUN5mMod oral,deRhi, s„,i and artaress (optional) iit Taxpayer Identification Number (TN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid I ,Social security number backup withholding. For individuats, this is generally your social security number (SSN). However, for a r''''"' r'' *...' resident alien°, sole proprietor, ot disregarded entity, see the Pal I instructions on page 3. For other — entities, it is your employer identification number E(f,J). If you do not have a number, see How to get a . _....... 77A1 on page 3, or Note. If the account is in mare than one name, see the instructions for line 1 and the chart on page 4 tor [Employer Identification number guidelines on whose number to enter. 5 9 0 7 2 2 7 Ort Certification Under penalties of perjury, I certify that: 11„ The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. WO nut SlibieOt to barrds.tro withholding because: (a) I am exempt :from backup withholding „ or (b) t have not been notified by the internal Revenue Seryce (IRS) that I arn subject to backup withholding as a result of a fail ke to report all interest or dividends,. or (u) the f RS has notified ire that 1 urn no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4, The FATCA code(s) entered on this form ((f any) indicating that I am exempt fron't FAICA reporting s correct, Certification instructions„ You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have faded to report all interest and dividends on your tax return„ For' real estate, transactions item 2 does not apply, For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions 'to an Mdividual retirement arrangement (IRA), and generalty„ ,payments, other than interest and dividends, 'you am not required to 111911 the certtfication, but you must provide yolJr correct TIN. See the instructions on page 3. Sign Signature 01„„„r.„, Here u.S, perso Dote 11. ( General Instructions Section references are to the Internal Hevenue Code unless otherwise noted. Future developments. tnformation about developments affecting Form W-9 (such • regi.slation enacted ,after we release. it) is at www.irs.govitw9. Purpose of Form An individual or enbty (Form IN-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (-TrN), March may be your social security [lumber ISSN), Individual, taxpayer Identification number (ITIN), adoption taxpayer identification number (AIN), or employer iderotification number (LIN), to report on an information return the arnourrt pale to you, or other amount reportable on an information return. Examples of Information returns include, but ore not limited to, the following • Form 1099-1NT (interest earned or paid) • Form 1099-DIV (dividends, inclirding those from stooks or mutual funds) • Form 1099-MISC (various typesof income. prize% a.wares, or gross proceeds) • Form 1099-9 (stock or Mut i.01 fond soles and certain r)Ittor transactions. by broker( • Form 1099-S (proceeds front real estate transactions) • Form 1099-K (merchant card ,and third party network transactions) • Forin 1098 (home mortgagor interest), 1098-E (student lean interest), 98-T (tuition) ▪ Fowl I 099,5(canceted debt) • Form 1099-A (acquisition or abandonment of .secured properly) Use Form t40r-9 only if you are a U.S. person tincluding a resident alien), to provide your correct TIN, if you do not return Forrn V1-9 to the requester with a (rN, yoh might be siriblect to backup withholding. See What is backpp withholding7 on page 2, By signing the filled -out form, your Cortity Mat the 011 you rrtre giving i5 correct (or you aro waiting for a number to be Issued), 2, Certify that you aff,,, not subjed to backup withholding, or 3. Cream f Mtn baCkup withhOldi19 if you are a 0 5 exempt payee. If applicable, you are also certifying that as a U.S.. person, your allocobie share of any OartnerShip nCome frOM e US, trade or business is not subject to the withholding tax on foreign partners' snare of effectively connected frcome, ond 1 Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA roporting, is correct. See What is FATCA repotung? 51 pogo 2 for further information.. CatNo, 10231X F0115 (Fievr 12-2014) 0000015 07/30/13 1)1 Of REVENUE 85-8012647130C- Consumer's Certificate of Exemption Issued Pursuant to Chapter 212, Florida Statutes 12/31/2013 Certificate Number Efiective Date 1 his certifies that EASTER SEALS SOUTH FLORIDA INC 1475 NW I 4TI-1 AVE MIAMI Ft 33125-1616 DH.14 R. 04/AI1 12/31/2018 501(C)(3) ORGANIZATION Expiration Date Exemphon Category is exempt from the payment of Florida sales and use tax on real property rented, transient rental property rented, tangible personal property purchased or rented, or services purchased. 1 Elt PAR EME N OE REVENUE Important Information for Exempt Organizations DR-14 R. 04/11 1. You must provide all vendors and suppliers with an exemption certificate before making tax-exempt purchases. See Rule 12A-1.038, Florida Administrative Code (F.A.C.). 2. Your Consumer's Certificate of Exemption is to be used solely by your organization for your organization's customary nonprofit activities. 3. 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 to purchases your organization makes. The sale or lease to others of tangible personal property, sleeping accommodations, or other real property is taxable. Your organization must 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 crirninal offense to fraudulently present this certificate to evade the payment of sales tax. Under no circumstanc6s 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-degree felony. Any violation will require the revocation of this certificate. 6. If you have questions regarding your exemption certificate, please contact the Exemption Unit of Account Management at 800-352-3671. From the available options, select "Registration of Taxes," then "Registration Information," and finally "Exemption Certificates and Nonprofit Entities." The mailing address is PO Box 6480, Tallahassee, FL 323'14-6480, 2016 FLORIDA NOT FOR PROFIT CORPORATION ANNUAL REPORT FILED DOCUMENT# 714329 Jan 21, 2016 Entity Name: EASTER SEALS SOUTH FLORIDA, I1NC Secretary of State CC7692489975 Current Principal Place of Business: 1475 N W 14TH AVENUE MIAMI, FL 33125-1616 Current Mailing Address: 1475 N W 14TH AVENUE MIAMI, FL 33125-1616 US FEI Number: 59-0722783 Name and Address of Current Registered Agent: CHANT, LOREEN 1475 NW 14TH AVE MIAMI, FL 33125 US Certificate of Status Desired: Yes The above flalned entity submits this statement for the purpose of changing its registered office ot' registered agent, Or herb, to the State of Ronda, SIIGNATURE: LOREEN CHANT 01/21/2016 Electronic Signature of Registered Agent Dale Officer/Director Detail : Title PRES Title CH Name CHANT, LOREEN Name DE CARDENAS, ALBERTO Address 1475 N W 14TH AVENUE Address 800 DOUGL AS RD, 12TH Fl. City -State -Zip MIAMI FL 33125-1616 City-State-Zio. CORAL GABLES FL 33133 Title VCH Title TREA Name BARKUS, DAVID Name GALLO-AQUINO„ CRISTINA Address 2000 S. BAYSHORE DR. #63 Address 11690 NW 105TH ST City -State -Zip: MIAMI FL 33133 City -State -Zip: MIAMI FL 334178 Title SEC Name TUNDIDOR, HECTOR Address 201 S.BISCAYNE BLVD. #3000 City -State -Zip. MIAMI FL 33133 Titte P CH Name FATOVIC, ROBERT Address 11690 NW 105TH ST City -State -Zip: MIAMI FL 33178 hereby certify th,rW the rnibrination rodenrrea on the's report or' aripMernentat report is' true and accurate and Mai npractronic signature shaft have The same tegal effect as af made under thai t am am officer or director of the corporation or ffie Pairerver Mystee empowered re execute this report as required by ChwMey fill 7, Florida Stattylem and that my name appears above, or on an attachment with aft other him empowered, SIGNATURE: LOREEN CHANT PRESIDENT 01/21/2016 Electronic Signature of Signing Officer!Drector Detail Date RSDop,trttnott, ot 1...asury Internal Revenue Service 0 244 CINCINNATI OH 45999-0038 EASTER SEALS SOUTH FLORIDA INC 1475 NW I4TH AVE MIAMI FL 33125 In reply refer to: 0248164798 June 29, 2015 LTR 4168C 0 59-0722783 000000 00 00025012 BODC: TE Employer Identification Number: 59-0722783 Person to Contact: Mr Bayer Toll Free Telephone Number: 1-877-829-5580 Dear Taxpayer: This is in response to your June I , 2015, request for informa regarding your tax-exempt status. on Our records indicate that you were recognized as exempt under section 501(c)(3) of the internal Revenue Code in a determination letter issued in August 1951. Our records also indicate that you are not a private foundation within the meaning of section 509(a) of the Code because you are described in section(s) 509(a)(1) and 170(b)(1)(A)(vi). Donors may deduct contributions to you as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to you or for your use are deductible for Federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106, and 2522 of the Code. Please refer to our website www.irs.gov/eo for information regarding filing requirements. Specifically, section 6033(j) of the Code provides that failure to file an annual information return for three consecutive years results in revocation of tax-exempt status as of the filing due date of the third return fur organizations required to file. We will publish a list of organizations whose tax-exempt status was revoked under section 6033(j) of the Code on our website beginning in early 2011. 0248164791-4 June 29, 2015 LTR 4168C 8 59-07227 3 000000 00 00025013 EASTER SEALS SOUTH FLORIDA INC 1475 NW 14TH AVE MIAMI FL 33125 If you have any questions, please call us at the telephone number shown in the heading of this letter. Sincerely yours, /00 Doris Kenwright, Operation, Mgr. Accounts Management Operations 1