FORM 1023-EZ for THE GEORGE A ZELLNER FAMILY FOUNDATION INC

Field Data
EIN 47-1694750
Case Number EO-2015348-000438
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE GEORGE A ZELLNER FAMILY FOUNDATION INC
Organization’s Mailing Address 4040 ALCAZAR AVENUE
City JACKSONVILLE
State FL
ZIP 32207
Accounting period End 12
Primary contact name KRISTOPHER D ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GEORGE ZELLNER
DIRECTOR
4040 ALCAZAR AVENUE
JACKSONVILLE FL 32207

Officer/Director/Trustee Two

BRUCE SHEALY
DIRECTOR
8777 SAN JOSE BLVD - STE 600
JACKSONVILLE FL 32217

Officer/Director/Trustee Three

GARY EVANS
DIRECTOR
4000 ST JOHNS AVENUE - STE 26B
JACKSONVILLE FL 32205

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2014
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 Yes
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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