Florida Department of Agriculture and Consumer Services Division of Consumer Services
SMALL CHARITABLE ORGANIZATIONS/SPONSORS REGISTRATION APPLICATION Solicitation of Contributions Act Chapter 496, Florida Statutes Rule 5J-7.004, Florida Administrative Code
NO FEE REQUIRED
1-800-HELP-FLA (435-7352) 850-410-3800 Calling Outside Florida www.800helpfla.com • 850-410-3804 Fax
ADAM H. PUTNAM COMMISSIONER
All documents and attachments submitted with this application are subject to public review pursuant to Chapter 119, F.S.
Application Information License Number:
CH3740 Business Information
Legal Name:
THE VILLAGERS, INC.
FEIN:
59-1764157
Business Phone:
305-582-6126
Business Address:
10400 Old Cutler Rd Coral Gables Florida 33156
Mailing Address:
PO BOX 141843 CORAL GABLES Florida 33114-1843
Email Address:
[email protected]
Website Address:
www.thevillagersinc.org
Fictitious Names**
Not Applicable
**All fictitious names must be registered with the Division of Corporations. If business is a corporation then 'Name' is the legal name of the business as listed with the Division of Corporations. You must list all names under which you intend to do business. Business Details Month/Day fiscal year ends: Organization's Internal Revenue Service Status:
12/31 501(c)(3)
Purpose of the Organization: PROTECT, ADVOCATE FOR, AND PROMOTE OUR SPECIAL PLACES, STRUCTURES, SITES AND OBJECTS WHICH HAVE ARCHITECTURAL, CULTURAL, ENVIRONMENTAL, OR HISTORICAL SIGNIFICANCE Purpose for which the contributions are used: TO PROMOTE AN APPRECIATION OF HISTORY THROUGH THE ACQUISITION, RESTORATION AND PRESERVATION OF STRUCTURES, SITES, BUILDINGS AND OBJECTS HAVING SPECIAL HISTORICAL OR ARCHITECTURAL SIGNIFICANCE.
Personnel Information Officer 1
Name:
LOYDA LEWIS
Title:
Officer
Phone:
305-775-8988
Address:
6601 SW 126TH ST MIAMI Florida 33156-5507 Criminal History Questions
1.
Is this person exempt from Public Records? [s. 119.071(4), F.S.] No
2.
Has this person been convicted of, found guilty of, pled guilty or nolo contendere to, or been incarcerated within the last 10 years as a result of having previously been convicted of, or found guilty of, or pled guilty or nolo contendere to, any felony, or crime involving fraud, theft, larceny, embezzlement, fraudulent conversion, misappropriation of property, or any crime arising from the conduct of a solicitation for a charitable organization or sponsor within the last 10 years? [s. 496.405(2)(d)5, F.S.] No
3.
Has this person been enjoined from violating any law relating to a charitable solicitation? [s. 496.405(2)(d)6, F.S.] No
Officer 2 - Removed
Name:
MARY BETH BURKE
Title: Phone:
305-794-9733
Address:
1243 ASTURIA AVENUE CORAL GABLES Florida 33134
Officer 3 - Removed
Name:
JANE HOLGUIN
Title: Phone:
805-701-0452
Address:
3196 VIA ABITARE WAY COCONUT GROVE Florida 33133
Officer 4 - Removed
Name:
GLORIA VILLA
Title: Phone:
305-301-8230
Address:
2430 BRICKELL AVENUE #306-A MIAMI Florida 33129
Officer 5 - Removed
Name:
JAN SAUVIGNE
Title: Phone:
305-582-6126
Address:
5850 SUNCREST DRIVE MIAMI Florida 33156
Officer 6
Name:
JOAN BOUNDS
Title:
President
Phone:
305-319-1132
Address:
3241 RIVIERA DRIVE CORAL GABLES Florida 33134 Criminal History Questions
1.
Is this person exempt from Public Records? [s. 119.071(4), F.S.] No
2.
Has this person been convicted of, found guilty of, pled guilty or nolo contendere to, or been incarcerated within the last 10 years as a result of having previously been convicted of, or found guilty of, or pled guilty or nolo contendere to, any felony, or crime involving fraud, theft, larceny, embezzlement, fraudulent conversion, misappropriation of property, or any crime arising from the conduct of a solicitation for a charitable organization or sponsor within the last 10 years? [s. 496.405(2)(d)5, F.S.] No
3.
Has this person been enjoined from violating any law relating to a charitable solicitation? [s. 496.405(2)(d)6, F.S.] No
Officer 7
Name:
FRAN BLAKE
Title:
Secretary
Phone:
305-588-7231
Address:
16041 SW 81ST AVENUE PALMETTO BAY Florida 33157 Criminal History Questions
1.
Is this person exempt from Public Records? [s. 119.071(4), F.S.] No
2.
Has this person been convicted of, found guilty of, pled guilty or nolo contendere to, or been incarcerated within the last 10 years as a result of having previously been convicted of, or found guilty of, or pled guilty or nolo contendere to, any felony, or crime involving fraud, theft, larceny, embezzlement, fraudulent conversion, misappropriation of property, or any crime arising from the conduct of a solicitation for a charitable organization or sponsor within the last 10 years? [s. 496.405(2)(d)5, F.S.] No
3.
Has this person been enjoined from violating any law relating to a charitable solicitation? [s. 496.405(2)(d)6, F.S.] No
Officer 8 - Removed
Name:
GAYLE DUNCAN
Title: Phone:
305-297-3607
Address:
6928 CAMARIN STREET CORAL GABLES Florida 33146
Officer 9 - Removed
Name:
NICOLE LEBON-SCAGNELLI
Title: Phone:
786-238-7453
Address:
440 LUENGA AVENUE CORAL GABLES Florida 33146
Officer 10
Name:
ILARIA BELLONI
Title:
Treasurer
Phone:
305-607-5556
Address:
10400 OLD CUTLER RD CORAL GABLES Florida 33156 Criminal History Questions
1.
Is this person exempt from Public Records? [s. 119.071(4), F.S.] No
2.
Has this person been convicted of, found guilty of, pled guilty or nolo contendere to, or been incarcerated within the last 10 years as a result of having previously been convicted of, or found guilty of, or pled guilty or nolo contendere to, any felony, or crime involving fraud, theft, larceny, embezzlement, fraudulent conversion, misappropriation of property, or any crime arising from the conduct of a solicitation for a charitable organization or sponsor within the last 10 years? [s. 496.405(2)(d)5, F.S.] No
3.
Has this person been enjoined from violating any law relating to a charitable solicitation? [s. 496.405(2)(d)6, F.S.] No
Officer 11
Name:
KAREN ALEXANDER
Title:
In Charge of Solicitation Vice President
Phone:
305-661-3001
Address:
3546 N BAYHOMES DR MIAMI Florida 33133 Criminal History Questions
1.
Is this person exempt from Public Records? [s. 119.071(4), F.S.] No
2.
Has this person been convicted of, found guilty of, pled guilty or nolo contendere to, or been incarcerated within the last 10 years as a result of having previously been convicted of, or found guilty of, or pled guilty or nolo contendere to, any felony, or crime involving fraud, theft, larceny, embezzlement, fraudulent conversion, misappropriation of property, or any crime arising from the conduct of a solicitation for a charitable organization or sponsor within the last 10 years? [s. 496.405(2)(d)5, F.S.] No
3.
Has this person been enjoined from violating any law relating to a charitable solicitation? [s. 496.405(2)(d)6, F.S.] No
Officer 12
Name:
EILEEN ELLMAN
Title:
Vice President
Phone:
305-812-0443
Address:
4254 LENNOX DR MIAMI Florida 33133 Criminal History Questions
1.
Is this person exempt from Public Records? [s. 119.071(4), F.S.] No
2.
Has this person been convicted of, found guilty of, pled guilty or nolo contendere to, or been incarcerated within the last 10 years as a result of having previously been convicted of, or found guilty of, or pled guilty
or nolo contendere to, any felony, or crime involving fraud, theft, larceny, embezzlement, fraudulent conversion, misappropriation of property, or any crime arising from the conduct of a solicitation for a charitable organization or sponsor within the last 10 years? [s. 496.405(2)(d)5, F.S.] No 3.
Has this person been enjoined from violating any law relating to a charitable solicitation? [s. 496.405(2)(d)6, F.S.] No
Officer 13
Name:
SUSAN MEDINA
Title:
In Charge of Distribution Vice President
Phone:
305-495-0674
Address:
6725 SW 122 DR PINECREST Florida 33156 Criminal History Questions
1.
Is this person exempt from Public Records? [s. 119.071(4), F.S.] No
2.
Has this person been convicted of, found guilty of, pled guilty or nolo contendere to, or been incarcerated within the last 10 years as a result of having previously been convicted of, or found guilty of, or pled guilty or nolo contendere to, any felony, or crime involving fraud, theft, larceny, embezzlement, fraudulent conversion, misappropriation of property, or any crime arising from the conduct of a solicitation for a charitable organization or sponsor within the last 10 years? [s. 496.405(2)(d)5, F.S.] No
3.
Has this person been enjoined from violating any law relating to a charitable solicitation? [s. 496.405(2)(d)6, F.S.] No
Officer 14
Name:
ALEXIS EHRENHAFT
Title:
Secretary
Phone:
305-444-4161
Address:
2221 COUNTRY CLUB PRADO CORAL GABLES Florida 33134 Criminal History Questions
1.
Is this person exempt from Public Records? [s. 119.071(4), F.S.] No
2.
Has this person been convicted of, found guilty of, pled guilty or nolo contendere to, or been incarcerated within the last 10 years as a result of having previously been convicted of, or found guilty of, or pled guilty or nolo contendere to, any felony, or crime involving fraud, theft, larceny, embezzlement, fraudulent conversion, misappropriation of property, or any crime arising from the conduct of a solicitation for a charitable organization or sponsor within the last 10 years? [s. 496.405(2)(d)5, F.S.] No
3.
Has this person been enjoined from violating any law relating to a charitable solicitation? [s. 496.405(2)(d)6, F.S.] No
Officer 15
Name:
JANET NOSTRO
Title:
Treasurer
Phone:
305-444-1625
Address:
728 CATALONIA AV CORAL GABLES Florida 33134 Criminal History Questions
1.
Is this person exempt from Public Records? [s. 119.071(4), F.S.] No
2.
Has this person been convicted of, found guilty of, pled guilty or nolo contendere to, or been incarcerated within the last 10 years as a result of having previously been convicted of, or found guilty of, or pled guilty or nolo contendere to, any felony, or crime involving fraud, theft, larceny, embezzlement, fraudulent conversion, misappropriation of property, or any crime arising from the conduct of a solicitation for a charitable organization or sponsor within the last 10 years? [s. 496.405(2)(d)5, F.S.] No
3.
Has this person been enjoined from violating any law relating to a charitable solicitation? [s. 496.405(2)(d)6, F.S.] No Financial Statement
Fiscal year ending:
12/31/2017
Financial statement source:
990 EZ and Schedule O
Uploads Attached:
Yes
Attached Documents
1. Name: 990Z.pdf Type: Financial Information Desc: 990 EZ 2017 Supporting Documents(List of Sources and Amounts) Application Questionnaire Did the charitable organization or sponsor receive $25,000 or more in total revenue during the No immediately preceding fiscal year?: Are the fundraising activities of the charitable organization or sponsor carried on by any compensated volunteers, members, or officers ?:
No
Are any part of the assets or income of the organization or sponsor inured to the benefit of or No paid to any officer or member?: Does the charitable organization or sponsor utilize a professional fundraising consultant, professional solicitor, or commercial co-venture?: Preparer Information First Name:
ILARIA
Last Name:
BELLONI
Phone Number:
305-607-5556 Signature Information
No
*
I declare under penalty of perjury that all of the information provided in this application and in any exhibits attached hereto, is true and correct.
and further state as follows:
*
I certify that I am authorized to complete this application and the information provided is true and accurate. The above information is provided for the purpose of complying with the provisions of Chapter 496, Florida Statutes.
*
I certify that the above named charitable organization or sponsor has less than $25,000 in total revenue (including contributions).
*
I certify that the fundraising activities of the above named charitable organization or sponsor are carried on by volunteers, members, or officers who are not compensated and no part of the assets or income of the organization or sponsor inures to the benefit of or is paid to any officer or member of the above named charitable organization or sponsor.
*
I certify that the above named charitable organization or sponsor does not utilize a professional fundraising consultant, professional solicitor, or commercial co-venturer.
Signature Name:
ILARIA BELLONI
Signature Date:
10/2/2018
