FORM 1023-EZ for ORANGE PARK PATRONS INC

Field Data
EIN 27-4672126
Case Number EO-2016251-000430
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ORANGE PARK PATRONS INC
Organization’s Mailing Address 1006 FROMHART STREET
City ORANGE PARK
State FL
ZIP 32073
Accounting period End 12
Primary contact name ANJIE PALMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON DAVIDSON
PRESIDENT
147 TWIN MAPLE RD
ST. AUGUSTINE FL 32084

Officer/Director/Trustee Two

LANCE KATZ
VICE PRESIDENT
8449 LONG MEADOW CIR N
JACKSONVILLE FL 32244

Officer/Director/Trustee Three

COURTNEY GREEN
TREASURE
11431 WARRIOR WAY
JACKSONVILLE FL 32223

Officer/Director/Trustee Four

WALLACE GREEN
SECRETARY
503 ELBRIDGE GERRY STREET
ORANGE PARK FL 32073

Officer/Director/Trustee Five

KAREN HARRIS
DIRECTOR
3226 BUTTON WOOD DRIVE
MIDDLEBURG FL 32068

Organization’s website
Organization’s email MSANJIE1958@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/2010
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N31 - Community Recreational Centers
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
Signature Title
Signature Date

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