FORM 1023-EZ for FLORIDA STUDENT ASSOCIATION OF MATHEMATICS INCORPORATED

Field Data
EIN 47-5441416
Case Number EO-2017082-000404
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLORIDA STUDENT ASSOCIATION OF MATHEMATICS INCORPORATED
Organization’s Mailing Address 15501 BRUCE B DOWNS BLVD
City TAMPA
State FL
ZIP 33647-1307
Accounting period End 12
Primary contact name JOHN MISTELE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN H MISTELE
PRESIDENT, DIRECTOR
10200 CORAL CREEK RD
CORAL GABLES FL 33156-3425

Officer/Director/Trustee Two

KIM NGUYEN
PRESIDENT
6625 NW 57TH WAY
GAINESVILLE FL 32653-3217

Officer/Director/Trustee Three

RYAN BRODER
DIRECTOR
13700 SW 20TH ST
DAVIE FL 33325-6013

Officer/Director/Trustee Four

JASON WIGGINS
DIRECTOR
15501 BRUCE B DOWNS BLVD
TAMPA FL 33647-1301

Officer/Director/Trustee Five

BRUCE E REINHART
DIRECTOR
188 THORNTON DRIVE
PALM BEACH GARDENS FL 33418-8088

Organization’s website FLSAM.CO
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
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
Signature Title
Signature Date

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