FORM 1023-EZ for FLORIDA SCHOOL FOR THE DEAF ALUMNIASSOCIATION

Field	Data
EIN	35-2374866
Case Number	EO-2019248-000180
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	FLORIDA SCHOOL FOR THE DEAF ALUMNIASSOCIATION
Organization’s Mailing Address	PO BOX 1263
City	SAINT AUGUSTINE
State	FL
ZIP	32085
Accounting period End	12
Primary contact name	MELANY BOTTERBUSCH-GOODALL
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00

Officer/Director/Trustee One

JACQUELYN LALLY
PRESIDENT
877 MACKMENZIE CIRCLE
SAINT AUGUSTINE FL 32092

Officer/Director/Trustee Two

TAMARA PELLICER
VICE PRESIDENT
204 ROARING BROOK DRIVE
SAINT AUGUSTINE FL 32084

Officer/Director/Trustee Three

MELISSA KALER
SECRETARY
1732 CASTILE STREET
SAINT AUGUSTINE FL 32080

Officer/Director/Trustee Four

MELANY BOTTERBUSCH-GOODALL
TREASURER
2900 DEL RIO DRIVE
SAINT AUGUSTINE FL 32084

Organization’s website	WWW.FSDAA.ORG
Organization’s email	FSDAA1885@GMAIL.COM
Organization Incorporated	No
Organization trust	No
Necessary Organizing Documents	Yes
Organization Incorporation Date	1/22/10
Organization Incorporation State	FL
Contains Limitation	Yes
Does not expressly empower	Yes
Contains dissolution	Yes
National Taxonomy of Exempt Entities (NTEE) code	B84 - Alumni Associations
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	Yes
Benefit of College	No
Private Foundation 508(e)	No
Seeking Retroactive Reinstatement	No
Seeking Section 7 Reinstatement	Yes
Correctness Declaration	Yes
Signature Name	MELANY BOTTERBUSCH-GOODALL
Signature Title	TREASURER
Signature Date	9/3/19
EIN	35-2374866
Case Number	EO-2019248-000180
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	FLORIDA SCHOOL FOR THE DEAF ALUMNI ASSOCIATION
Organization’s Mailing Address	PO BOX 1263
City	SAINT AUGUSTINE
State	FL
ZIP	32085
Accounting period End	12
Primary contact name	MELANY BOTTERBUSCH-GOODALL
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00