FORM 1023-EZ for SPACE COAST REGIONAL CHAPTER - FLORIDA MASTER NATURALISTS

Field Data
EIN 47-4695536
Case Number EO-2016067-000330
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPACE COAST REGIONAL CHAPTER - FLORIDA MASTER NATURALISTS
Organization’s Mailing Address 3695 LAKE DRIVE
City COCOA
State FL
ZIP 32926
Accounting period End 12
Primary contact name KAREN RANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GREG HENDRICKS
PRESIDENT
1685 NEPTUNE DRIVE
MERRITT ISLAND FL 32915

Officer/Director/Trustee Two

KAREN RANN
TREASURER
449 FRANKLYN AVE
INDIALANTIC FL 32903

Officer/Director/Trustee Three

KERRI LUBESKI
SECRETARY
171 ROOSEVELT STREET
TITUSVILLE FL 32780

Officer/Director/Trustee Four

BERT ALM
PRESIDENT ELECT
1482 TRALEE BAY AVE
MEBOURNE FL 32940

Officer/Director/Trustee Five

CRIS WAGNER
PAST PRESIDENT
508 CARRIAGE ROAD
SATELLITE BEACH FL 32937

Organization’s website HTTP://BREVARD.IFAS.UFL.EDU/MARINE/SCRC.SHTML
Organization’s email SPACECOASTMASTERNATURALISTS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C03 - Professional Societies, Associations
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 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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