FORM 1023-EZ for NORTH EAST FLORIDA OPIOID EPIDEMICINC

Field Data
EIN 83-1730851
Case Number EO-2018304-000044
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH EAST FLORIDA OPIOID EPIDEMICINC
Organization’s Mailing Address 102 REBECCA LN
City PALATKAA
State FL
ZIP 32177-6347
Accounting period End 12
Primary contact name JONATHAN BELLAMY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JONATHAN BELLAMY
DIRECTOR
102 REBECCA LN
PALATKA FL 32177-6347

Organization’s website HTTP://WWW.NEFLOPIOIDEPIDEMIC.COM
Organization’s email JON@NEFLOPIOIDEPIDEMIC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention 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 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JONATHAN BELLAMY
Signature Title DIRECTOR
Signature Date 10/28/18
EIN 83-1730851
Case Number EO-2018304-000044
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH EAST FLORIDA OPIOID EPIDEMIC INC
Organization’s Mailing Address 102 REBECCA LN
City PALATKAA
State FL
ZIP 32177-6347
Accounting period End 12
Primary contact name JONATHAN BELLAMY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JONATHAN BELLAMY
DIRECTOR
102 REBECCA LN
PALATKA FL 32177-6347

Organization’s website HTTP://WWW.NEFLOPIOIDEPIDEMIC.COM
Organization’s email JON@NEFLOPIOIDEPIDEMIC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention 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 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JONATHAN BELLAMY
Signature Title DIRECTOR
Signature Date 10/28/18

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