FORM 1023-EZ for JUNIOR CHAMBER OF COMMERCE OF FLAGLER

Field Data
EIN 87-2564003
Case Number EO-2021256-000293
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JUNIOR CHAMBER OF COMMERCE OF FLAGLER
Organization’s Mailing Address 56 BURROUGHS DRIVE
City PALM COAST
State FL
ZIP 32137-9420
Accounting period End 7
Primary contact name GREGORY BLOSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREGORY A BLOSE
DIRECTOR
56 BURROUGHS DRIVE
PALM COAST FL 32137-9420

Officer/Director/Trustee Two

WALKER DOUGLAS
DIRECTOR
145 CITY PLACE SUITE 300
PALM COAST FL 32164-2481

Officer/Director/Trustee Three

JORDAN BUTLER
DIRECTOR
11 EAGLE LAKE DRIVE
FLAGLER BEACH FL 32136-4382

Organization’s website
Organization’s email GREG@PALMCOASTFLAGLERREGIONALCHAMBER.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GREGORY A BLOSE
Signature Title DIRECTOR
Signature Date 9/9/2021

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