FORM 1023-EZ for FLORIDA ACCESS COALITION FOR THE ARTS INC

Field Data
EIN 46-2928590
Case Number EO-2017230-000216
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLORIDA ACCESS COALITION FOR THE ARTS INC
Organization’s Mailing Address 701 OKEECHOBEE BLVD
City WEST PALM BEACH
State FL
ZIP 33401-6323
Accounting period End 12
Primary contact name ANDREW SEGALOFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW SEGALOFF
DIRECTOR
701 OKEECHOBEE BLVD
WEST PALM BEACH FL 33401

Officer/Director/Trustee Two

LEW BALABAN
DIRECTOR
621 SW 14TH COURT
FORT LAUDERDALE FL 33315

Officer/Director/Trustee Three

GARRY NOVIC
DIRECTOR
201 SW 5TH AVE
FORT LAUDERDALE FL 33312

Officer/Director/Trustee Four

JUDY LITT
DIRECTOR
9806 NE 2ND AVENUE
MIAMI SHORES FL 33138

Organization’s website WWW.FLACCESS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/2013
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 46-2928590
Case Number EO-2015187-000262
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLORIDA ACCESS COALITION FOR THE ARTS INC
Organization’s Mailing Address 701 OKEECHOBEE BOULEVARD
City WEST PALM BEACH
State FL
ZIP 33401
Accounting period End 12
Primary contact name ANDREW SEGALOFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANDREW SEGALOFF
DIRECTOR
701 OKEECHOBEE BLVD
WEST PALM BEACH FL 33401

Officer/Director/Trustee Two

GARRY NOVICK
DIRECTOR
201 SW 5TH AVE
FORT LAUDERDALE FL 33312

Officer/Director/Trustee Three

LEW BALABAN
DIRECTOR
621 SW 14TH CT
FORT LAUDERDALE FL 33315

Officer/Director/Trustee Four

JUDY LITT
DIRECTOR
9806 NE 2ND AVE
MIAMI SHORES FL 33138

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/2013
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
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
Signature Title
Signature Date

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