FORM 1023-EZ for SALT SPRINGS CIVIC ASSOCIATION INC

Field Data
EIN 59-3177882
Case Number EO-2016130-000144
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SALT SPRINGS CIVIC ASSOCIATION INC
Organization’s Mailing Address P O BOX 5075
City SALT SPRINGS
State FL
ZIP 32134
Accounting period End 12
Primary contact name CAREY FERRELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CAREY FERRELL
PRESIDENT
200 WOODS TRAIL
SANFORD FL 32771

Officer/Director/Trustee Two

JOHN SIMMONS
VICE-PRESIDENT
24398 NE 151ST PLACE
SALT SPRINGS FL 32134

Officer/Director/Trustee Three

DUSTIN ECHOLS
SECRETARY
13525 NE 213 AVE
FT MCCOY FL 32134

Officer/Director/Trustee Four

BRENT MORROW
TREASURER
25311 NE 138 PLACE
SALT SPRINGS FL 32134

Officer/Director/Trustee Five

MAX TIMBROOK
DIRECTOR
27414 NE HWY 316
SALT SPRINGS FL 32134

Organization’s website
Organization’s email SSCA2@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/1995
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
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
Signature Title
Signature Date

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