FORM 1023-EZ for NORTH FLORIDA PRESCRIBED BURN ASSOCIATION INC

Field Data
EIN 82-5373864
Case Number EO-2018135-000514
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH FLORIDA PRESCRIBED BURN ASSOCIATION INC
Organization’s Mailing Address 7204 SE COUNTY ROAD 234
City GAINESVILLE
State FL
ZIP 32641
Accounting period End 12
Primary contact name CHARLES FARR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BEN WILLIAMS
PRESIDENT
1096 OAKVALE ROAD
ST JOHNS FL 32259

Officer/Director/Trustee Two

CHARLES FARR
VICE-PRESIDENT
450 SR NORTH 13 STE 106 BOX 415
ST JOHNS FL 32259

Officer/Director/Trustee Three

RICK ROBBINS
SECRETARY
1546 SW 35TH PLACE
GAINESVILLE FL 32608

Officer/Director/Trustee Four

DOUG MOORE
DIRECTOR
634 DYAL STREET
JACKSONVILLE FL 32206

Officer/Director/Trustee Five

MICHAEL BUSH
TREASURER
8915 SW 92ND LANE
GAINESVILLE FL 32608

Organization’s website
Organization’s email NFPBA2017@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C36 - Forest Conservation
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 CHARLES FARR
Signature Title VICE-PRESIDENT
Signature Date 5/10/18

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