FORM 1023-EZ for FLORAHOME PARK AND HERITAGE ASSOCIATION INC

Field Data
EIN 84-2935206
Case Number EO-2019253-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FLORAHOME PARK AND HERITAGE ASSOCIATION INC
Organization’s Mailing Address 211 VARDEN ROAD
City FLORAHOME
State FL
ZIP 32140
Accounting period End 12
Primary contact name TERESA MIKELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAWRENCE MIKELSON II
TREASURE
1133 CORAL FARMS RD
FLORAHOME FL 32140

Officer/Director/Trustee Two

MERI-LIN PIANTANIDA
PRESIDENT
211 VARDEN ROAD
FLORAHOME FL 32140

Officer/Director/Trustee Three

BRENDA MERRITT
SECRETRARY
147 E DOGWOOD
FLORAHOME FL 32140

Officer/Director/Trustee Four

RONNIE CARNES
VICE PRESIDENT
507 CORAL FARMS RD
FLORAHOME FL 32140

Officer/Director/Trustee Five

NELS PARSON
DIRECTOR
100 TINSLEY RD
FLORAHOME FL 32140

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
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 LAWRENCE MIKELSON II
Signature Title TREASURE
Signature Date 9/8/19

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