FORM 1023-EZ for EMERALD COAST OMEGA FOUNDATION INCORPORATED

Field Data
EIN 45-2684949
Case Number EO-2017044-000229
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EMERALD COAST OMEGA FOUNDATION INCORPORATED
Organization’s Mailing Address 1311 CAPRI DRIVE
City PANAMA CITY
State FL
ZIP 32405
Accounting period End 12
Primary contact name CHARLES WALKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES WALKER
PRESIDENT
1311 CAPRI DRIVE
PANAMA CITY FL 32405

Officer/Director/Trustee Two

SYLVESTER GRIFFIN
VICE PRESIDENT
PO BOX 151
LYNN HAVEN FL 32444

Officer/Director/Trustee Three

REUBEN SPARKS
TREASURER
6826 HUGH DRIVE
P FL 32404

Officer/Director/Trustee Four

KEVIN MATTHEWS
SECRETARY
7006 BENTON DRIVE
P FL 32404

Officer/Director/Trustee Five

GREG MAY
DIRECTOR
515 GARDENIA
PANAMA CITY FL 32407

Organization’s website
Organization’s email LWALKER@KNOLOGY.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/9/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y40 - Fraternal Beneficiary Societies
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 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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