| Field | Data |
|---|---|
| EIN | 86-1291076 |
| Case Number | EO-2021056-000284 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MY GREEN DOCTOR FOUNDATION INC |
| Organization’s Mailing Address | 6326 SAN JOSE BLVD WEST |
| City | JACKSONVILLE |
| State | FL |
| ZIP | 32217 |
| Accounting period End | 12 |
| Primary contact name | TODD L SACK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
TODD SACK
CHAIRPERSON
6326 SAN JOSE BLVD WEST
JACKSONVILLE FL 32217
JOY LLOYD-MONTGOMERY
VICE-CHAIRPERSON
2636 COUNTRY SIDE DRIVE
FLEMING ISLAND FL 32003
JAMES CONNELLY
TREASURER SECRETARY
1309 W 1ST AVE APT 501
SPOKANE WA 99201
ROBIN COOPER
DIRECTOR
1132 DOLORES STREET
SAN FRANCISCO CA 94110
RONALD SAFF
DIRECTOR
2300 CENTERVILLE ROAD
TALLAHASSEE FL 32308
| Organization’s website | HTTPS://WWW.MYGREENDOCTOR.ORG |
|---|---|
| Organization’s email | TSACK8@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/1/2021 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | C11 - Single Organization Support |
| 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 | No |
| Correctness Declaration | Yes |
| Signature Name | TODD SACK |
| Signature Title | CHAIRPERSON |
| Signature Date | 1/7/2021 |
| EIN | 86-1291076 |
| Case Number | EO-2021056-000284 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MY GREEN DOCTOR FOUNDATION INC |
| Organization’s Mailing Address | 6326 SAN JOSE BLVD WEST |
| City | JACKSONVILLE |
| State | FL |
| ZIP | 32217 |
| Accounting period End | 12 |
| Primary contact name | TODD L SACK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
TODD SACK
CHAIRPERSON
6326 SAN JOSE BLVD WEST
JACKSONVILLE FL 32217
JOY LLOYD-MONTGOMERY
VICE-CHAIRPERSON
2636 COUNTRY SIDE DRIVE
FLEMING ISLAND FL 32003
JAMES CONNELLY
TREASURER SECRETARY
1309 W 1ST AVE APT 501
SPOKANE WA 99201
ROBIN COOPER
DIRECTOR
1132 DOLORES STREET
SAN FRANCISCO CA 94110
RONALD SAFF
DIRECTOR
2300 CENTERVILLE ROAD
TALLAHASSEE FL 32308
| Organization’s website | HTTPS://WWW.MYGREENDOCTOR.ORG |
|---|---|
| Organization’s email | TSACK8@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/1/2021 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | C11 - Single Organization Support |
| 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 | No |
| Correctness Declaration | Yes |
| Signature Name | TODD SACK |
| Signature Title | CHAIRPERSON |
| Signature Date | 1/7/2021 |
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