FORM 1023-EZ for THE CATHOLIC WOMANS CLUB OF JACKSONVILLE

Field Data
EIN 80-0462682
Case Number EO-2018176-000241
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CATHOLIC WOMANS CLUB OF JACKSONVILLE
Organization’s Mailing Address 125 CRESTWAY LANE
City PONTE VEDRA
State FL
ZIP 32081-6018
Accounting period End 5
Primary contact name PAM DEWEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRAN GULLMAN
PRESIDENT
106282 WIMBLEDON DR
JACKSONVILLE FL 32257-3353

Officer/Director/Trustee Two

PAM DEWEY
TREASURER
125 CRESTWAY LANE
PONTE VEDRA FL 32081-6018

Officer/Director/Trustee Three

JULIE ROTHERY
VICEPRESIDENT
611 PONTE VEDRA LAKES BLVD APT307
PONTE VEDRA BEACH FL 32082-1288

Officer/Director/Trustee Four

SARINTHIA GUSHANAS
RECORDING SECRETARY
1920 MONTMARTE DRIVE
JACKSONVILLE FL 32210-2534

Officer/Director/Trustee Five

STACI DUNCAN
ADVISOR
2434 MERCER CIRCLE SOUTH
JACKSONVILLE FL 32216-2419

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X22 - Roman Catholic
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name PAM DEWEY
Signature Title TREASURER
Signature Date 6/21/18
EIN 80-0462682
Case Number EO-2014220-000087
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CATHOLIC WOMANS CLUB
Organization’s Mailing Address 1248 CHALLEN AVENUE
City JACKSONVILLE
State FL
ZIP 32205-7842
Accounting period End 5
Primary contact name ANITA THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARY GEORGE
PRESIDENT
157 ANDRESS STREET
JACKSONVILLE FL 32208

Officer/Director/Trustee Two

ANNE CUELLAR
VICE PRESIDENT
479 TARRASA DRIVE
JACKSONVILLE FL 32225

Officer/Director/Trustee Three

BETTY KUEHL
TREASURER
10790 KURALEI DRIVE
JACKSONVILLE FL 32246

Officer/Director/Trustee Four

JEAN BAZLEY
SECRETARY
3122 BAZLEY ROAD
GREEN COVE SPRINGS FL 32043

Officer/Director/Trustee Five

ANITA THOMPSON
ADVISORY BOARD
1248 CHALLEN AVENUE
JACKSONVILLE FL 32205-7842

Organization’s website NA
Organization’s email APT21@BELLSOUTH.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/1917
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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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