FORM 1023-EZ for NATURE COAST COMMUNITY SERVICES FOUNDATION INC

Field Data
EIN 83-2137960
Case Number EO-2018312-000257
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NATURE COAST COMMUNITY SERVICES FOUNDATION INC
Organization’s Mailing Address 7401 HEATHER WALK DR
City WEEKI WACHEE
State FL
ZIP 34613-5115
Accounting period End 12
Primary contact name JEFFREY HOUSEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY HOUSEMAN
TREASURER
7401 HEATHER WALK DR
WEEKI WACHEE FL 34613-5115

Officer/Director/Trustee Two

ELLEN PAUL
PRESIDENT
13039 LAWRENCE STREET
SPRING HILL FL 34609

Officer/Director/Trustee Three

ANDREW LEPAGE
VICE PRESIDENT
1185 MACFARLANE AVE
SPRING HILL, FL FL 34608

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
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 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 Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JEFFREY HOUSEMAN
Signature Title TREASURER
Signature Date 11/5/18

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