FORM 1023-EZ for FLORIDA SOCIETY OF NEONATOLOGISTS INC

Field Data
EIN 59-2653813
Case Number EO-2015138-000305
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLORIDA SOCIETY OF NEONATOLOGISTS INC
Organization’s Mailing Address 601FIFTH STREET SOUTH OCC-5TH FLOOR
City ST. PETERSBURG
State FL
ZIP 33701
Accounting period End 12
Primary contact name CATHERINE M GROH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CARINE STROMQUIST
PRESIDENT
601 FIFTH STREET SOUTH
ST PETERSBURG FL 33701

Officer/Director/Trustee Two

SANDRA SUCHOMSKI
PRESIDENT ELECT
655 W 8TH STREET
JACKSONVILLE FL 32209

Officer/Director/Trustee Three

AARON GERMAIN
SECRETARY TREASURER
601 FIFTH STREET SOUTH
ST PETERSBURG FL 33701

Officer/Director/Trustee Four

CATHERINE GROH
EXECUTIVE DIRECTOR
601 FIFTH STREET SOUTH
ST PETERSBURG FL 33701

Organization’s website WWW.MYFSN.ORG
Organization’s email GROHFSN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/1985
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, Associations
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 Yes
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

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