FORM 1023-EZ for EASTERN DIAMONDBACK CONSERVATION FOUNDATION INC

Field Data
EIN 47-2947628
Case Number EO-2017075-000424
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EASTERN DIAMONDBACK CONSERVATION FOUNDATION INC
Organization’s Mailing Address 12452 HICKORY FOREST ROAD
City JACKSONVILLE
State FL
ZIP 32226
Accounting period End 12
Primary contact name ANTHONY DALY-CREWS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY DALY-CREWS
PRESIDENT, EXECUTIVE DIRECTOR
12452 HICKORY FOREST ROAD
JACKSONVILLE FL 32226

Officer/Director/Trustee Two

CHASE PIRTLE
VICE PRESIDENT
14260 WEST NEWBERRY ROAD NUMBER331
NEWBERRY FL 32669

Officer/Director/Trustee Three

KIMBERLY DALY-CREWS
TREASURER, DIRECTOR OF RESEARCH
12452 HICKORY FOREST ROAD
JACKSONVILLE FL 32226

Officer/Director/Trustee Four

AMBER SUTTON
DIRECTOR OF TRAINING AND EDUCATION
3002A NW 79TH COURT
GAINESVILLE FL 32606

Officer/Director/Trustee Five

KEVIN CASTELLANOS
DIRECTOR OF MARKETING
440 SW 20TH STREET APT 1-1101-B
GAINESVILLE FL 32607

Organization’s website WWW.SAVETHEBUZZTAILS.ORG
Organization’s email SAVETHEBUZZTAILS@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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
Signature Title
Signature Date

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