FORM 1023-EZ for CONCERNED CITIZENS OF NASSAU COUNTYCORPORATION

Field Data
EIN 82-1762048
Case Number EO-2017159-000278
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CONCERNED CITIZENS OF NASSAU COUNTYCORPORATION
Organization’s Mailing Address PO BOX 332
City CALLAHAN
State FL
ZIP 32011
Accounting period End 12
Primary contact name TYRONE BLUE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TYRONE BLUE
PRESIDENT
PO BOX 332
CALLAHAN FL 32011

Officer/Director/Trustee Two

ROSE WAY
VICE PRESIDENT
54204 TURNING LEAF DRIVE
CALLAHAN FL 32011

Officer/Director/Trustee Three

LILLIAN LAMBERT
SECRETARY
PO BOX 355
CALLAHAN FL 32011

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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 Yes
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 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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