FORM 1023-EZ for FPSAA JAMES A COOK MEMORIAL FUND INC

Field Data
EIN 90-1076487
Case Number EO-2015050-000358
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FPSAA JAMES A COOK MEMORIAL FUND INC
Organization’s Mailing Address 558 SW MAXWELL CT
City FORT WHITE
State FL
ZIP 32038-3986
Accounting period End 12
Primary contact name JUDITH MAXWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS LINLEY
PRESIDENT
2015 CHOWKEEBIN NENE
TALLAHASSEE FL 32301-5819

Officer/Director/Trustee Two

PHILLIP WERNDLI
VICE PRESIDENT
1028 APOLLO BEACH BLVD
APOLLO BEACH FL 33572-2049

Officer/Director/Trustee Three

KADIE HAMNER
TREASURER
PO BOX 1263
OLD TOWN FL 32680-1263

Officer/Director/Trustee Four

JUDITH MAXWELL
SECRETARY
558 SW MAXWELL CT
FORT WHITE FL 32038-3986

Officer/Director/Trustee Five

GEORGE APTHORP
DIRECTOR
2888 SPRING CREEK HWY
CRAWFORDVILLE FL 32327-4361

Organization’s website HTTP://FPSAA.ORG/JAMES-COOK-RELIEF-FUND
Organization’s email JUDI46@WINDSTREAM.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/2003
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 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 Yes
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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