FORM 1023-EZ for NORTH FLORIDA COASTAL CARETAKERS

Field Data
EIN 81-1042087
Case Number EO-2016013-000453
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTH FLORIDA COASTAL CARETAKERS
Organization’s Mailing Address 4425 US HWY 1 SOUTH SUITE 103
City ST AUGUSTINE
State FL
ZIP 32086
Accounting period End 12
Primary contact name PAUL MURRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JESSICA GOTT
PRESIDENT
6974 MIDDLETOWN AVE APT B
ST AUGUSTINE FL 32080

Officer/Director/Trustee Two

PAUL MURRAY
VICE PRES
3105 HARBOR DR
ST AUGUSTINE FL 32084

Organization’s website
Organization’s email JESS@NFLORIDACC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C99 - Environmental Quality, Protection, and Beautification N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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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