FORM 1023-EZ for PARAMOUNT ADAPTIVE RIDING CENTER INCORPORATED

Field Data
EIN 84-4622447
Case Number EO-2020043-000415
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PARAMOUNT ADAPTIVE RIDING CENTER INCORPORATED
Organization’s Mailing Address 77669 LUMBER CREEK BLVD
City YULEE
State FL
ZIP 32097
Accounting period End 12
Primary contact name KRISTA JURKOVICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTA JURKOVICH
EXECUTIVE DIRECTOR
77669 LUMBER CREEK BLVD
YULEE FL 32097

Officer/Director/Trustee Two

GEORGE JURKOVICH
DIRECTOR
9965 ALHAMBRA LANE
BONITA SPRINGS FL 34135

Officer/Director/Trustee Three

HEATHER JOHNSTON
DIRECTOR
3 MITCHELL AVE
ORANGE PARK FL 32073

Officer/Director/Trustee Four

KIRSTIN PRINCE
DIRECTOR
86090 GW COURSON RD
YULEE FL 32041

Organization’s website N/A
Organization’s email PARAMOUNTKJ@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
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 KRISTA JURKOVICH
Signature Title EXECUTIVE DIRECTOR
Signature Date 2/10/2020

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