FORM 1023-EZ for FLORIDA COALITION OF ONCOLOGY NURSENAVIGATORS

Field Data
EIN 45-2821136
Case Number EO-2014332-000092
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLORIDA COALITION OF ONCOLOGY NURSENAVIGATORS
Organization’s Mailing Address 10301 HAGEN RANCH ROAD SUITE 920
City BOYNTON BEACH
State FL
ZIP 33437
Accounting period End 12
Primary contact name DELMARIE BUTLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DELMARIE BUTLER
PRESIDENT
10301 HAGEN RANCH ROAD
BOYNTON BEACH FL 33437

Officer/Director/Trustee Two

DARA LEICHTER
WEBMASTER
190882 STONINGTON AVE
FT MYERS FL 33913

Officer/Director/Trustee Three

PEGGY NEVILLE
MEMBERSHIP
800 PRUDENTIAL DRIVE
JACKSONVILLE FL 32207

Officer/Director/Trustee Four

CHARLENE BRADY
TREASURER
1200 W GRANADA BLVD
ORMOND BEACH FL 32174

Officer/Director/Trustee Five

DEBORAH SZABO
SECRETARY
1475 NW 12TH AVENUE
MIAMI FL 33136

Organization’s website WWW.FCONN.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/2011
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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
Signature Title
Signature Date

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