FORM 1023-EZ for MISS FLORIDA AZALEA SCHOLARSHIP PAGEANT

Field Data
EIN 81-2473590
Case Number EO-2017082-000464
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MISS FLORIDA AZALEA SCHOLARSHIP PAGEANT
Organization’s Mailing Address 112 TIMBERVIEW DR
City PALATKA
State FL
ZIP 32177
Accounting period End 4
Primary contact name MARCIA TRACY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARCIA TRACY
PRESIDENT
112 TIMBERVIEW DR
PALATKA FL 32177

Officer/Director/Trustee Two

BUTCH BRAMLITT
VICE PRESIDENT
279 BUCK RUN WAY
ST AUGUSTINE FL 32092

Officer/Director/Trustee Three

TINA DUCK
SECRETARY
109 MACON ROAD
PALATKA FL 32177

Organization’s website AZALEAPAGEANT.ORG
Organization’s email AZALEAPAGEANT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/13/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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