FORM 1023-EZ for FLORIDA COMMUNITY INNOVATION FOUNDATION INC

Field Data
EIN 85-3417777
Case Number EO-2021063-000328
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FLORIDA COMMUNITY INNOVATION FOUNDATION INC
Organization’s Mailing Address 8 SPINNAKER POINT CT
City INDIAN HARBOUR BEACH
State FL
ZIP 32937
Accounting period End 12
Primary contact name CLAY B TOUSEY III ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROLINE NICKERSON
DIRECTOR AND VICE PRESIDENT
8 SPINNAKER POINT CT
INDIAN HARBOUR BEACH FL 32937

Officer/Director/Trustee Two

GLORIA LI
DIRECTOR AND SECRETARY
1414 17TH STREET NW APT 407
WASHINGTON DC 20036

Officer/Director/Trustee Three

DAVIS JACKSON
DIRECTOR AND TREASURER
1045 N MONROE ST
ARLINGTON VA 22201

Officer/Director/Trustee Four

CHRIS BATTISTA
DIRECTOR AND PRESIDENT
1209 STONEHEDGE TRAIL LANE
ST AUGUSTINE FL 32092

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S02 - Management & Technical Assistance
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHRIS BATTISTA
Signature Title DIRECTOR AND PRESIDENT
Signature Date 12/28/2020

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