FORM 1023-EZ for FBI JACKSONVILLE CITIZENS ACADEMY ALUMNI ASSOCIATION INC

Field Data
EIN 26-3741809
Case Number EO-2021104-000181
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FBI JACKSONVILLE CITIZENS ACADEMY ALUMNI ASSOCIATION INC
Organization’s Mailing Address 6061 GATE PARKWAY
City JACKSONVILLE
State FL
ZIP 32256
Accounting period End 12
Primary contact name JENNIFER URBAN - CAF 0308-14263R
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VALERI FOWLER
PRESIDENT/DIRECTOR
6061 GATE PARKWAY
JACKSONVILLE FL 32256

Officer/Director/Trustee Two

SHAUIB KARIM
VICE PRESIDENT/DIRECTOR
6061 GATE PARKWAY
JACKSONVILLE FL 32256

Officer/Director/Trustee Three

SHAWN COLLINS
TREASURER/DIRECTOR
6061 GATE PARKWAY
JACKSONVILLE FL 32256

Officer/Director/Trustee Four

JOE SANTORE
SECRETARY/DIRECTOR
6061 GATE PARKWAY
JACKSONVILLE FL 32256

Officer/Director/Trustee Five

SHERRY YATES
MEMEMBERSHIP COORDINATOR/DIRECTOR
6061 GATE PARKWAY
JACKSONVILLE FL 32256

Organization’s website http://fbijcaaa.org/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/2008
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I20 - Crime Prevention N.E.C.
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 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 VALERI FOWLER
Signature Title PRESIDENT/DIRECTOR
Signature Date 4/7/2021

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