FORM 1023-EZ for FLORIDA CYBER ALLIANCE INC

Field Data
EIN 46-4170032
Case Number EO-2014237-000248
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLORIDA CYBER ALLIANCE INC
Organization’s Mailing Address PO BOX 195762
City WINTER SPRINGS
State FL
ZIP 32791
Accounting period End 12
Primary contact name LEE MANGOLD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SCOTT DEVAULT
PRESIDENT
724 RAVEN ROCK COURT
PORT ORANGE FL 32127

Officer/Director/Trustee Two

LEE MANGOLD
VICE PRESIDENT
580 LEGACY PARK DR
CASSELBERRY FL 32707

Officer/Director/Trustee Three

JONATHAN GRIMM
TREASURER
222 TROPIC DRIVE
PORT ORANGE FL 32127

Officer/Director/Trustee Four

ANNE TALL
SECRETARY
606 CANNE PLACE
CELEBRATION FL 32747

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/2013
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S30 - Economic Development
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 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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