FORM 1023-EZ for BACK COUNTRY HORSEMEN FIRST COAST CORP

Field Data
EIN 82-4903246
Case Number EO-2018089-000385
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BACK COUNTRY HORSEMEN FIRST COAST CORP
Organization’s Mailing Address 8255 COUNTY ROAD 208
City SAINT AUGUSTINE
State FL
ZIP 32092
Accounting period End 12
Primary contact name MARY FARR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HOLLY HORTON
PRESIDENT
5115 SILO ROAD
SAINT AUGUSTINE FL 32092

Officer/Director/Trustee Two

MARY FARR
VICE PRESIDENT
1385 SCOTT ROAD
SAINT JOHNS FL 32259

Officer/Director/Trustee Three

BRENDA JEWELL
TREASURER
8255 COUNTY ROAD 208
SAINT AUGUSTINE FL 32092

Officer/Director/Trustee Four

KATHLEEN MALONE
SECRETARY
285 DUSTY ROAD
SAINT AUGUSTINE FL 32095

Organization’s website
Organization’s email BCHFF18@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C01 - Alliance/Advocacy Organizations
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 No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARY FARR
Signature Title VICE PRESIDENT
Signature Date 3/28/18

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