FORM 1023-EZ for OCEAN REGIONAL FLORIDA HEALTH INFORMATION MANAGEMENT ASSOCIATION

Field Data
EIN 85-2985509
Case Number EO-2021064-001228
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OCEAN REGIONAL FLORIDA HEALTH INFORMATION MANAGEMENT ASSOCIATION
Organization’s Mailing Address 1 BUCKINGHAM DRIVE
City ORMOND BEACH
State FL
ZIP 32176-2801
Accounting period End 12
Primary contact name GINALISA MOSTERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GINALISA MOSTERT
PRESIDENT
1 BUCKINGHAM DRIVE
ORMOND BEACH FL 32176-2801

Officer/Director/Trustee Two

EMILY MORRIS
TREASURER
2217 UNITY TREE DRIVE
EDGEWATER FL 32141-4309

Officer/Director/Trustee Three

MAUREEN HALE
SECRETARY
46 MAYFIELD TERRACE
ORMOND BEACH FL 32174-8223

Organization’s website
Organization’s email OCEANREGIONFLORIDA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2020
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GINALISA MOSTERT
Signature Title PRESIDENT
Signature Date 1/11/2021

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