FORM 1023-EZ for COCONUT GROVE OPTIMIST FOUNDATION INC

Field Data
EIN 82-1600019
Case Number EO-2018179-000228
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COCONUT GROVE OPTIMIST FOUNDATION INC
Organization’s Mailing Address 2142 NW 74 ST APT 104
City MIAMI
State FL
ZIP 33147
Accounting period End 12
Primary contact name SHANTEE PATTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMIAH DAYS
PRESIDENT
2142 NW 74 ST APT 104
MIAMI FL 33147

Officer/Director/Trustee Two

KIMBERLY WIMBERLY
VICE PRESIDENT
2142 NW 74 ST APT 104
MIAMI FL 33147

Officer/Director/Trustee Three

SHANTEE PATTON
ATTY
2142 NW 74 ST APT 104
MIAMI FL 33147

Officer/Director/Trustee Four

NIKENNA BENJAMIN
SECRETARY
2142 NW 74 ST APT 104
MIAMI FL 33147

Officer/Director/Trustee Five

RASHARD WILLIAMS
MEMBER
2142 NW 74 ST APT 104
MIAMI FL 33147

Organization’s website COCONUTGROVEOPTIMIST.COM
Organization’s email CGOF.INC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/13/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 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 JEREMIAH DAYS
Signature Title PRESIDENT
Signature Date 6/26/18

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