FORM 1023-EZ for FOG INC

Field Data
EIN 84-5177118
Case Number EO-2020083-000224
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOG INC
Organization’s Mailing Address 1257 BLUEBIRD AVENUE
City MARCO ISLAND
State FL
ZIP 34145
Accounting period End 12
Primary contact name NANCY HARRISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENISE HOLMES
PRESIDENT
1257 BLUEBIRD AVENUE
MARCO ISLAND FL 34145

Officer/Director/Trustee Two

NANCY HARRISON
TREASURER
1322 ALSHIRE CT S
TALLAHASSEE FL 32317

Officer/Director/Trustee Three

CARRIE HOLMES
VICE PRESIDENT
1257 BLUEBIRD AVENUE
MARCO ISLAND FL 34145

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NANCY HARRISON
Signature Title TREASURER
Signature Date 3/19/2020

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