FORM 1023-EZ for FLORIDA FIELD HOCKEY

Field Data
EIN 83-3070068
Case Number EO-2019224-000418
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FLORIDA FIELD HOCKEY
Organization’s Mailing Address 851 MILES AVE UNIT 21
City WINTER PARK
State FL
ZIP 32789
Accounting period End 12
Primary contact name AMY GENDRON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY GENDRON
PRESIDENT
851 MILES AVE
WINTER PARK FL 32789

Officer/Director/Trustee Two

CHASE BACON
VICE PRESIDENT
4811 BAYSHORE BLVD
TAMPA FL 33611

Officer/Director/Trustee Three

NICOLE RAO
SECRETARY
135 CAMBRIDGE LANE
BELLEFONTE PA 16823

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics 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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name AMY GENDRON
Signature Title PRESIDENT
Signature Date 8/9/19

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