| Field | Data |
|---|---|
| EIN | 81-4375485 |
| Case Number | EO-2018140-000026 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | FLORIDA MEDICAL ALLIANCE FOUNDATIONINC |
| Organization’s Mailing Address | PO BOX 1403 |
| City | LAND O LAKES |
| State | FL |
| ZIP | 34639 |
| Accounting period End | 12 |
| Primary contact name | PEGGY CROWLEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
MARIQUITA ANDERSON
PRESIDENT
1800 WASHINGTON AVE S APT 502
MINNEAPOLIS MN 55454-2013
BEVERLY DEVINE
PRESIDENT-ELECT
2004 TOCOBAGA LANE
NOKOMIS FL 34275-5309
ANNE GRENITZ
TREASURER-FINANCE COMMITTEE CHAIR
11041 NW 7TH STREET
PLANTATION FL 33324-2800
ANGELA ABRAMS
SECRETARY (INTERIM)
11351 RIVERS BLUFF CIR
LAKEWOOD RANCH FL 34202-2800
| Organization’s website | FMAAFOUNDATION.ORG |
|---|---|
| Organization’s email | DIRECTOR@FMAAFOUNDATION.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/16/16 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E01 - Alliance/Advocacy Organizations |
| 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 | Yes |
| 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 | MARIQUITA ANDERSON |
| Signature Title | PRESIDENT |
| Signature Date | 5/15/18 |
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