FORM 1023-EZ for FLORIDA EYE FOUNDATION INC

Field Data
EIN 83-4288354
Case Number EO-2019316-000014
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FLORIDA EYE FOUNDATION INC
Organization’s Mailing Address 11512 LAKE MEAD AVE SUITE 534
City JACKSONVILLE
State FL
ZIP 32256-5835
Accounting period End 12
Primary contact name ROBERT RYAN MORRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAJESH SHETTY
DIRECTOR AND PRESIDENT
11512 LAKE MEADE AVE SUITE 534
JACKSONVILLE FL 32256-5835

Officer/Director/Trustee Two

AMIT CHOKSHI
DIRECTOR
11512 LAKE MEADE AVE SUITE 534
JACKSONVILLE FL 32256-5835

Officer/Director/Trustee Three

SAIYID HASAN
DIRECTOR
11512 LAKE MEADE AVE SUITE 534
JACKSONVILLE FL 32256-5835

Officer/Director/Trustee Four

RAVI PATEL
DIRECTOR
11512 LAKE MEADE AVE SUITE 534
JACKSONVILLE FL 32256-5835

Officer/Director/Trustee Five

ROBERT MORRIS
DIRECTOR
816 A1A NORTH SUITE 204
PONTE VEDRA BEACH FL 32082-3219

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROBERT MORRIS
Signature Title DIRECTOR
Signature Date 11/7/19

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