FORM 1023-EZ for FIRST COAST BLUES SOCIETY INC

Field Data
EIN 47-5098648
Case Number EO-2019178-000136
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIRST COAST BLUES SOCIETY INC
Organization’s Mailing Address 13987 POSTIME DR
City JACKSONVILLE BEACH
State FL
ZIP 32250
Accounting period End 12
Primary contact name CHERRY GRAVENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAY SMITH
PRESIDENT
13987 POSTIME DR
JACKSONVILLE BEACH FL 32250

Officer/Director/Trustee Two

CHERRY GRAVENS
TREASURER
8243 PEPPERWOOD DR
JACKSONVILLE FL 32244

Officer/Director/Trustee Three

CHAD WILLIAMS
VP
68 W 14TH ST
ATLANTIC BEACH FL 32233

Officer/Director/Trustee Four

SCOTT SWEETEN
SECRETARY
13703 RICHMOND PARK DR UNIT 1806
JACKSONVILLE FL 32224

Officer/Director/Trustee Five

RICHARD BORDERS
DIRECTOR
2733 RAINBOW RD
JACKSONVILLE FL 32217

Organization’s website WWW.FIRSTCOASTBLUESSOCIETY.ORG
Organization’s email FIRSTCOASTBLUESSOCIETY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/15
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
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 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 No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHERRY GRAVENS
Signature Title TREASURER
Signature Date 6/25/19
EIN 47-5098648
Case Number EO-2015327-000489
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FIRST COAST BLUES SOCIETY INC
Organization’s Mailing Address 599 ATLANTIC BLVD SUITE 3
City ATLANTIC BEACH
State FL
ZIP 32233
Accounting period End 12
Primary contact name DEBRA SIMMONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BOBBY HERMSEN
PRESIDENT
10350 DEBUTANTE DRIVE SOUTH
JACKSONVILLE FL 32246

Officer/Director/Trustee Two

DEBRA SIMMONS
TREASURER
820 14TH STREET WEST
ATLANTIC BEACH FL 32233

Officer/Director/Trustee Three

JENNIFER MARTINEZ
DIRECTOR
3127 ROUNDHAM LANE
JACKSONVILLE FL 32225

Officer/Director/Trustee Four

JAY SMITH
VICE PRESIDENT
259 WHISTLER SPRING COURT
JACKSONVILLE FL 32225

Organization’s website WWW.FIRSTCOASTBLUESSOCIETY.COM
Organization’s email DEBBIEFIRSTCOASTBLUES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
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
Signature Title
Signature Date

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