FORM 1023-EZ for COQUI NATION INC

Field Data
EIN 82-3326119
Case Number EO-2019119-000295
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COQUI NATION INC
Organization’s Mailing Address 6915 MAKERS WAY
City APOLLO BEACH
State FL
ZIP 33572
Accounting period End 12
Primary contact name LISA WELLANDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA WELLANDER
PRESIDENT
6915 MAKERS WAY
APOLLO BEACH FL 33572

Officer/Director/Trustee Two

SIERRA LAUCK
VICE PRESIDENT
2204 N RIDGEWOOD AVE
TAMPA FL 33602

Officer/Director/Trustee Three

SHAWNA DOWNS
BOARD MEMBER
PO BOX 8179
PORT SAINT LUCIE FL 34985

Organization’s website WWW.COQUINATION.COM
Organization’s email LISA@COQUINATION.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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 LISA WELLANDER
Signature Title PRESIDENT
Signature Date 4/26/19

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