FORM 1023-EZ for NORTHWEST FLORIDA VETERINARY MEDICAL SOCIETY INC

Field Data
EIN 84-2068804
Case Number EO-2019178-000064
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHWEST FLORIDA VETERINARY MEDICAL SOCIETY INC
Organization’s Mailing Address 4800 N DAVIS HIGHWAY
City PENSACOLA
State FL
ZIP 32503-2341
Accounting period End 12
Primary contact name CATHERYN GRANTHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID BORDELON
PRESIDENT
4800 N DAVIS HWY
PENSACOLA FL 32503-2341

Officer/Director/Trustee Two

JODI ACOSTA
TREASURER
4800 N DAVIS HWY
PENSACOLA FL 32503-2341

Officer/Director/Trustee Three

CATHERYN GRANTHAM
DIRECTOR
4800 N DAVIS HWY
PENSACOLA FL 32503-2341

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/08
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 CATHERYN GRANTHAM
Signature Title DIRECTOR
Signature Date 6/24/19

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