FORM 1023-EZ for FLORIDA AGING IN PLACE COALITION INC

Field Data
EIN 86-3696518
Case Number EO-2021127-000408
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FLORIDA AGING IN PLACE COALITION INC
Organization’s Mailing Address 147 RYAN DRIVE
City PALM COAST
State FL
ZIP 32164
Accounting period End 12
Primary contact name JERELYNE IDICA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERELYNE IDICA
CO-PRESIDENT AND CO-CEO
147 RYAN DRIVE
PALM COAST FL 32164

Officer/Director/Trustee Two

JACQUELINE NDWARU
CO-PRESIDENT AND CO-CEO
13931 SPOONBILL STREET NORTH
JACKSONVILLE FL 32224

Officer/Director/Trustee Three

NATHALIE CHUA
CFO
3902 BRAMPTON ISLAND CT S
JACKSONVILLE FL 32224

Officer/Director/Trustee Four

JOHN MCGLAMERY
VP OF OPERATIONS
13931 SPOONBILL STREET NORTH
JACKSONVILLE FL 32224

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G94 - Geriatrics
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 Yes
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 JERELYNE IDICA
Signature Title CO-PRESIDENT AND CO-CEO
Signature Date 5/6/2021

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