FORM 1023-EZ for FREE RANGE LEARNING COOPERATIVE

Field Data
EIN 47-4843778
Case Number EO-2017156-000063
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FREE RANGE LEARNING COOPERATIVE
Organization’s Mailing Address 6625 TERRY RD
City JACKSONVILLE
State FL
ZIP 32216-5030
Accounting period End 12
Primary contact name ANTHONY DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY DAVIS
BOARD CHAIR
2755 NAVAJO RD
ORANGE PARK FL 32073-6635

Officer/Director/Trustee Two

KRISTEN WILSON
DIRECTOR
5048 WELBORN RD
JACKSONVILLE FL 32207-4869

Officer/Director/Trustee Three

JESSICA LAKEY
DIRECTOR
5220 COUNTRY ESTATES RD
MIDDLEBURG FL 32068-4539

Officer/Director/Trustee Four

REBECCA CUMBIE
DIRECTOR
7334 BOWDEN CIR S
JACKSONVILLE FL 32216-6211

Officer/Director/Trustee Five

PAMELA DENT
DIRECTOR
6860 GREENLAND RIDGE LN N
JACKSONVILLE FL 32256-1514

Organization’s website WWW.HOMESCHOOL-LIFE.COM/1064
Organization’s email FRLCBOARD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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
Signature Title
Signature Date

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