FORM 1023-EZ for SUWANNEE RIVER STUDIO

Field Data
EIN 83-3306985
Case Number EO-2019037-000629
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUWANNEE RIVER STUDIO
Organization’s Mailing Address PO BOX 4030
City DOWLING PARK
State FL
ZIP 32064
Accounting period End 12
Primary contact name JE CZAJA MORDON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JE CZAJA MORDON
EXECUTIVE DIRECTOR
PO BOX 4030
DOWLING PARK FL 32064

Officer/Director/Trustee Two

MARCELLA BRIDIER
PRESIDENT
PO BOX 169
DAY FL 32013

Officer/Director/Trustee Three

GRADY GUTSHALL
VICE PRESIDENT
PO BOX 4417
DOWLING PARK FL 32064

Officer/Director/Trustee Four

JOANN BLOCK
SEC/TRES
12071 193RD ROAD
LIVE OAK FL 32060

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A25 - Arts Education
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARCELLA BRIDIER
Signature Title PRESIDENT
Signature Date 1/29/19

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