FORM 1023-EZ for SUWANNEE NORTH DISTRICT LAY ORGANIZATION INC

Field Data
EIN 47-1636892
Case Number EO-2015042-000032
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUWANNEE NORTH DISTRICT LAY ORGANIZATION INC
Organization’s Mailing Address 5533 GILCHRIST RD
City JACKSONVILLE
State FL
ZIP 32208
Accounting period End 12
Primary contact name MAE DEVOE FIELDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CAROLYN FLOYD
PRESIDENT
11540 S WOODSONG LOOP DR
JACKSONVILLE FL 32225

Officer/Director/Trustee Two

LEWIS PALMER
VICE PRESIDENT
6266 BARRY DRIVE
JACKSONVILLE FL 32208

Officer/Director/Trustee Three

SHIRLEY KENNEDY
SECRETARY
8737 2ND AVENUE
JACKSONVILLE FL 32208

Officer/Director/Trustee Four

TIFFANY BELLENGER SMITH
TREASURER
202 MILLER ST
LIVE OAK FL 32064

Organization’s website
Organization’s email CAROLYNYFLOYD@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
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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