FORM 1023-EZ for CANAVERAL NATION INC

Field Data
EIN 83-2688607
Case Number EO-2019039-000530
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CANAVERAL NATION INC
Organization’s Mailing Address 959 N COCOA BLVD SUITE 5
City COCOA
State FL
ZIP 32922
Accounting period End 6
Primary contact name NICHOLAS VIDONI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BILLIE HENRY
PRESIDENT
500 PALM AVE
MERRITT ISLAND FL 32952-3752

Officer/Director/Trustee Two

KENNY TERREL
VICE PRESIDENT
2814 NEWFOUND HARBOR DR
MERRITT ISLAND FL 32952-2864

Officer/Director/Trustee Three

CHRIS MACKIEWICZ
TREASURER
2166 CANAL RIDGE DR
TITUSVILLE FL 32780-7402

Officer/Director/Trustee Four

BRAD ZEILER
PAST PRESIDENT
1270 DEMITASSE AVE
MERRITT ISLAND FL 32952-5409

Officer/Director/Trustee Five

JEFF BOYD
WAMPUM BEARER
200 SYKES LOOP DR
COCOA FL 32922

Organization’s website HTTPS://WWW.FACEBOOK.COM/CANAVERALNATIONINDIANGUIDES/
Organization’s email VIDONI@VIDONILAW.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O40 - Scouting 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 No
Correctness Declaration Yes
Signature Name BILLIE HENRY
Signature Title PRESIDENT
Signature Date 2/4/19

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