FORM 1023-EZ for GOOD VIBRATIONS OF AMELIA INC

Field Data
EIN 47-1045155
Case Number EO-2015223-000083
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GOOD VIBRATIONS OF AMELIA INC
Organization’s Mailing Address 867 LAGUNA DRIVE
City FERNANDINA BEACH
State FL
ZIP 32034
Accounting period End 12
Primary contact name VALERIE FALTEMIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LISA ARATO
PRESIDENT
867 LAGUNA DRIVE
FERNANDINA BEACH FL 32034

Officer/Director/Trustee Two

KATIE COMBS
VICE PRESIDENT
96254 SOAP CREEK DRIVE
FERNANDINA BEACH FL 32034

Officer/Director/Trustee Three

SHIRLEY COLLINS
SECRETARY
1880 TIDEWATER
FERNANDINA BEACH FL 32034

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/7/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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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