FORM 1023-EZ for AG RESERVE LAND TRUST INC

Field Data
EIN 82-1837211
Case Number EO-2017166-000128
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AG RESERVE LAND TRUST INC
Organization’s Mailing Address 10618 WHITEWIND CIRCLE
City BOYNTON BEACH
State FL
ZIP 33473
Accounting period End 12
Primary contact name JODY GORRAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JODY GORRAN
PRESIDENT/DIRECTOR
10618 WHITEWIND CIRCLE
BOYNTON BEACH FL 33473

Officer/Director/Trustee Two

GEOFFREY KASHDAN
DIRECTOR
10610 PINEADA CIRCLE
BOYNTON BEACH FL 33436

Officer/Director/Trustee Three

DANIEL GOLDSTEIN
DIRECTOR
9071 GRAYSON COURT
BOYNTON BEACH FL 33473

Organization’s website
Organization’s email JGORRAN11@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K25 - Farmland Preservation
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 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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