FORM 1023-EZ for MED-SHARE FLORIDA

Field Data
EIN 86-1177751
Case Number EO-2016118-000103
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MED-SHARE FLORIDA
Organization’s Mailing Address 8865 E ROSEMONT ST
City INVERNESS
State FL
ZIP 34450-7314
Accounting period End 12
Primary contact name MEGAN CARELLA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DANIEL CARELLA
DIRECTOR
8865 E ROSEMONT ST
INVERNESS FL 34450

Officer/Director/Trustee Two

MEGAN CARELLA
COMMUNITY OUTREACH DIRECTOR
8865 E ROSEMONT ST
INVERNESS FL 34450

Organization’s website WWW.MED-SHAREFLORIDA.ORG
Organization’s email MEGAN@MED-SHAREFLORIDA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2007
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E19 - Nonmonetary Support N.E.C.
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 Yes
Donation of funds No
Conducting Activities Outside of United States Yes
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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