FORM 1023-EZ for NORTHEAST FLORIDA MATTHEW IN ACTIONINC

Field Data
EIN 47-4767814
Case Number EO-2015261-000192
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHEAST FLORIDA MATTHEW IN ACTIONINC
Organization’s Mailing Address 2259 LAUREL GROVE LANE
City ORANGE PARK
State FL
ZIP 32073
Accounting period End 12
Primary contact name ANNE LANGLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANNE LANGLEY
CHAIRMAN
2259 LAUREL GROVE LANE
ORANGE PARK FL 32073

Officer/Director/Trustee Two

SHIRLEY MARSH
VICE-CHAIRMAN
901 OCEAN BLVD UNIT 21
ATLANTIC BEACH FL 32233

Officer/Director/Trustee Three

JOYE HAMPTON
SECRETARY
4831 AVON LANE
JACKSONVILLE FL 32210

Officer/Director/Trustee Four

SAMUEL LANGLEY
TREASURER
2259 LAUREL GROVE LANE
ORANGE PARK FL 32073

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/2015
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: No
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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