FORM 1023-EZ for BROWARD GOLD COAST SERVICE OF NA INC

Field Data
EIN 84-4742931
Case Number EO-2020226-000253
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROWARD GOLD COAST SERVICE OF NA INC
Organization’s Mailing Address 1830 N UNIVERSITY DRIVE
City PLANTATION
State FL
ZIP 33322
Accounting period End 12
Primary contact name CHRISTINA JAWORSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORIN SWIRSKY
PRESIDENT
1830 N UNIVERSITY DRIVE
PLANTATION FL 33322

Officer/Director/Trustee Two

CHRISTINA JAWORSKI
VP
1830 N UNIVERSITY DRIVE
PLANTATION FL 33322

Officer/Director/Trustee Three

JON STOREY
TREASURER
1830 N UNIVERSITY DRIVE
PLANTATION FL 33322

Officer/Director/Trustee Four

CHRISTOPHER MOYANHAN
SECR
1830 N UNIVERSITY DRIVE
PLANTATION FL 33322

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/17/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
Organization’s purpose Charitable: No
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 JON STOREY
Signature Title TREASURER
Signature Date 8/11/2020

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