FORM 1023-EZ for NAVAL AIR STATION JACKSONVILLE CHIEF PETTY OFFICER ASSOCIATION

Field Data
EIN 82-4857941
Case Number EO-2018155-000454
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NAVAL AIR STATION JACKSONVILLE CHIEF PETTY OFFICER ASSOCIATION
Organization’s Mailing Address PO BOX 24
City JACKSONVILLE
State FL
ZIP 32212
Accounting period End 12
Primary contact name DREW LEDBETTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER SIMON
VICE PRESIDENT
5552 MARDIS PL E
JACKSONVILLE FL 32212

Officer/Director/Trustee Two

TIFFANI TRAVIS
SECRETARY
336 N ELVERTON PL
ST JOHNS FL 32259

Officer/Director/Trustee Three

DREW LEDBETTER
TREASURER
3558 OLD VILLAGE DR
ORANGE PARK FL 32065

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J03 - 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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DREW LEDBETTER
Signature Title TREASURER
Signature Date 5/31/18

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