FORM 1023-EZ for SOCIETY OF CRITICAL CARE MEDICINE FLORIDA CHAPTER INC

Field Data
EIN 82-3383496
Case Number EO-2018120-000687
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOCIETY OF CRITICAL CARE MEDICINE FLORIDA CHAPTER INC
Organization’s Mailing Address 1 TAMPA GENERAL CIRCLE
City TAMPA
State FL
ZIP 33601
Accounting period End 12
Primary contact name MELISSA GIARRATANO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BEATRICE ADAMS
PRESIDENT
12313 WEXFORD HILLS RD
RIVERVIEW FL 33569

Officer/Director/Trustee Two

MELISSA CHUDOW
PE
1216 EAST CUMBERLAND AVE APT 204
TAMPA FL 33602

Officer/Director/Trustee Three

MELISSA GIARRATANO
TREASURER
1046 12TH STREET N
ST. PETERSBURG FL 33705

Officer/Director/Trustee Four

MICHAEL SEMANCO
SECRETARY
1 TAMPA GENERALCIRCLE
TAMPA FL 33601

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 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 MELISSA GIARRATANO
Signature Title TREASURER
Signature Date 4/27/18

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