| Field | Data |
|---|---|
| EIN | 85-2523899 |
| Case Number | EO-2020268-000202 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | COSTA THERAPY INC |
| Organization’s Mailing Address | 591 ISLAND DR |
| City | SATELLITE BEACH |
| State | FL |
| ZIP | 32937 |
| Accounting period End | 12 |
| Primary contact name | MICHELE LEONE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
MICHELE LEONE
CEO/PRESIDENT
2850 WASHINGTONIA DR
MELBOURNE FL 32934
CORY NICHOLS
VICE PRESIDENT/TREASURER
591 ISLAND DR
SATELLITE BEACH FL 32937
KATIE SIMCOCK
COO/SECRETARY
6136 HUCKLEBERRY AVE
ORLANDO FL 32819
| Organization’s website | WWW.COSTASURF.ORG |
|---|---|
| Organization’s email | INFO@COSTASURF.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/20/2020 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E50 - Rehabilitative Medical Services |
| 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 | MICHELE LEONE |
| Signature Title | CEO/PRESIDENT |
| Signature Date | 9/22/2020 |
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