FORM 1023-EZ for FLORIDAS FIRST COAST BASKETBALL ORGANIZATION

Field Data
EIN 82-0857442
Case Number EO-2017086-000231
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLORIDAS FIRST COAST BASKETBALL ORGANIZATION
Organization’s Mailing Address 474 OCEAN FOREST DR
City ST AUGUSTINE
State FL
ZIP 32089
Accounting period End 12
Primary contact name MATT ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATT ROBINSON
P
474 OCEAN FOREST DR
ST AUGUSTINE FL 32080

Officer/Director/Trustee Two

DODGE TAYLOR
VP
44 KON TIKI CIRCLE
ST AUGUSTINE FL 32080

Officer/Director/Trustee Three

SHEILA ROBINSON
SEC
474 OCEAN FOREST
ST AUGUSTINE FL 32080

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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 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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