FORM 1023-EZ for FLA FOUNDATION INC

Field Data
EIN 85-2664405
Case Number EO-2020261-000386
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FLA FOUNDATION INC
Organization’s Mailing Address 3063 BELL GROVE DRIVE
City TALLAHASSEE
State FL
ZIP 32308-9421
Accounting period End 12
Primary contact name KIMBERLY KOEGEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAYLOR KOEGEL
PRESIDENT
3063 BELL GROVE DRIVE
TALLAHASSEE FL 32308-9421

Officer/Director/Trustee Two

JASON BUCHHOLZ
TREASURER
4495 FOXCROFT DRIVE
TALLAHASSEE FL 32309-2149

Officer/Director/Trustee Three

ANGELA BUCHHOLZ
SECRETARY
4495 FOXCROFT DRIVE
TALLAHASSEE FL 32309-2149

Officer/Director/Trustee Four

KIMBERLY KOEGEL
DIRECTOR
3063 BELL GROVE DRIVE
TALLAHASSEE FL 32308-9421

Officer/Director/Trustee Five

SHANNON COOK
DIRECTOR
3067 BELL GROVE DRIVE
TALLAHASSEE FL 32308-9421

Organization’s website FLA-FOUNDATION.COM
Organization’s email INFO@FLA-FOUNDATION.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KIMBERLY KOEGEL
Signature Title DIRECTOR
Signature Date 9/15/2020

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