| Field | Data |
|---|---|
| EIN | 84-2232297 |
| Case Number | EO-2020220-000288 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | FIRST COAST NA INC |
| Organization’s Mailing Address | 3584 BARTON CREEK CIR |
| City | GREEN COVE SPRINGS |
| State | FL |
| ZIP | 32043 |
| Accounting period End | 12 |
| Primary contact name | SANDRA FORTNER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
RONALD COLEMAN
PRESIDENT
2133 BURR ST
JACKSONVILLE FL 32209
SARA BYRD
SECRETARY
3628 MORNING MEADOW LN
ORANGE PARK FL 32073
MALCOM JONES
TREASURER
3434 FITCH ST
JACKSONVILLE FL 32205
JIMMY FRAZIER
DIRECTOR
1982 BALDWIN ST
JACKSONVILLE FL 32209
JOHN MORTENSEN
DIRECTOR
3634 GREET ST
JACKSONVILLE FL 32205
| Organization’s website | |
|---|---|
| Organization’s email | LCARZOLI@COMCAST.NET |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/13/2019 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F22 - Alcohol, Drug Abuse, Treatment Only |
| 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 | RONALD COLEMAN |
| Signature Title | PRESIDENT |
| Signature Date | 8/5/2020 |
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