FORM 1023-EZ for FLORIDA BLACK BEAR SCENIC BYWAY INCORPORATED

Field Data
EIN 80-0349061
Case Number EO-2019036-000196
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FLORIDA BLACK BEAR SCENIC BYWAY INCORPORATED
Organization’s Mailing Address PO BOX 205
City BARBERVILLE
State FL
ZIP 32105
Accounting period End 12
Primary contact name JOAN BERNAT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES THORSEN
DIRECTOR
PO BOX 205
BARBERVILLE FL 32105

Officer/Director/Trustee Two

CATHY CONNOLLY
SD
15875 SE 190TH AVE
WEIRSDALE FL 32195

Officer/Director/Trustee Three

ANTHONY EHRLICH
T
299 LEMMON ROAD
BARBERVILLE FL 32105

Organization’s website HTTPS://WWW.FBBNSB.ORG
Organization’s email FBBNSB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/10
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANTHONY EHRLICH
Signature Title T
Signature Date 1/16/19

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