FORM 1023-EZ for FLORIDA COUNSELING ASSOCIATION FOUNDATION INC

Field Data
EIN 81-4599280
Case Number EO-2016344-000276
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLORIDA COUNSELING ASSOCIATION FOUNDATION INC
Organization’s Mailing Address 2750 TAYLOR AVENUE SUITE A 36
City ORLANDO
State FL
ZIP 32806-4474
Accounting period End 12
Primary contact name JAY FLEISHER ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNE FLENNER
BOARD MEMBER
2750 TAYLOR AVENUE SUITE A 36
ORLANDO FL 32806-4474

Officer/Director/Trustee Two

SHON SMITH
BOARD MEMBER
2750 TAYLOR AVENUE SUITE A 36
ORLANDO FL 32806-4474

Officer/Director/Trustee Three

KATIE MERCADANTE
BOARD MEMBER
2750 TAYLOR AVENUE SUITE A 36
ORLANDO FL 32806-4474

Officer/Director/Trustee Four

MICHELLE BRADHAM-COUSAR
BOARD MEMBER
2750 TAYLOR AVENUE SUITE A 36
ORLANDO FL 32806-4474

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/2016
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: 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 Yes
One Third Support Gifts No
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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