FORM 1023-EZ for THE STOREHOUSE OF NORTHEAST FLORIDAINC

Field Data
EIN 85-3754406
Case Number EO-2020311-000248
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE STOREHOUSE OF NORTHEAST FLORIDAINC
Organization’s Mailing Address 45090 GREEN AVE
City CALLAHAN
State FL
ZIP 32011
Accounting period End 12
Primary contact name GEORGE LYONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSHUA MUSGROVE
PRESIDENT
44223 BELL LN
CALLAHAN FL 32011

Officer/Director/Trustee Two

DANIEL BELL
TREASURER
44507 HALLIE LN
CALLAHAN FL 32011

Officer/Director/Trustee Three

RAYMOND FACHKO
SECRETARY
45132 HIDEAWAY LN
CALLAHAN FL 32011

Officer/Director/Trustee Four

GREGORY JONES
MEMBER
45219 PATRIOT LN
CALLAHAN FL 32011

Organization’s website
Organization’s email georgel@callahanfbc.org
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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 Yes
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 RAYMOND FACHKO
Signature Title SECRETARY
Signature Date 11/4/2020

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