FORM 1023-EZ for FIRST COAST BASKETBALL OFFICIALS ASSOCIATION

Field Data
EIN 86-2910489
Case Number EO-2021099-000793
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIRST COAST BASKETBALL OFFICIALS ASSOCIATION
Organization’s Mailing Address 168 DOCK HOUSE ROAD
City SAINT JOHNS
State FL
ZIP 32259
Accounting period End 12
Primary contact name CHARLES FORCIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES FORCIER
PRESIDENT
168 DOCK HOUSE ROAD
SAINT JOHNS FL 32259

Officer/Director/Trustee Two

JERRY WILLIAMS
TREASURER
4544 LONGLEAF COURT EAST
FLEMMING ISLAND FL 32003

Officer/Director/Trustee Three

MARTY MCEACHEAN
SECRETARY
113 TANGLEWOOD TRACE
SAINTJOHNS FL 32259

Officer/Director/Trustee Four

TERRENCE MITCHELL
VICE PRESIDENT
13391 CEDAR HAMMOCK WAY
JACKSONVILLE FL 32226

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 CHARLES FORCIER
Signature Title PRESIDENT
Signature Date 3/29/2021

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