FORM 1023-EZ for SEABREEZE ALUMNI ASSOCIATION INC

Field Data
EIN 30-0913801
Case Number EO-2016095-000403
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SEABREEZE ALUMNI ASSOCIATION INC
Organization’s Mailing Address 124 N NOVA ROAD STE 113
City ORMOND BEACH
State FL
ZIP 32174
Accounting period End 12
Primary contact name MICHAEL GIST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL GIST
PRESIDENT
181 S WASHINGTON STREET
ORMOND BEACH FL 32174

Officer/Director/Trustee Two

KELLY ROUSE-WILLIS
DIRECTOR
1560 CENTRAL AVE APT 160
ST PETERSBURG FL 33705

Officer/Director/Trustee Three

DOUGLAS FRENCH
DIRECTOR
15020 ARBOR RESERVE CIRCLE - 302
TAMPA FL 33624

Officer/Director/Trustee Four

DARLYNN TACINELLI
DIRECTOR
21 BLOCKHOUSE CT
ORMOND BEACH FL 32174

Organization’s website WWW.SEABREEZEALUMNI.ORG
Organization’s email TAX@SEABREEZEALUMNI.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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