FORM 1023-EZ for COASTAL ACADEMY

Field Data
EIN 47-1728240
Case Number EO-2016210-000040
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COASTAL ACADEMY
Organization’s Mailing Address 18911 COLLINS AVE /1201
City SUNNY ISLES BEACH
State FL
ZIP 33160
Accounting period End 12
Primary contact name JOHNATHAN BLUHM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHNATHAN BLUHM
PRESIDENT
18235 OLETA DRIVE
NORTH MIAMI BEACH FL 33160-5296

Officer/Director/Trustee Two

MEAGAN MCGIVERN
VICE-PRESIDENT
207 I STREET
BOSTON MA 02127-5737

Officer/Director/Trustee Three

BARRY BLUHM
TREASURER
608 EAST OAK STREET
OJAI CA 93023-9658

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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
Signature Title
Signature Date

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