FORM 1023-EZ for PANTHER WATER POLO BOOSTERS INC

Field Data
EIN 83-4679720
Case Number EO-2020051-000400
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PANTHER WATER POLO BOOSTERS INC
Organization’s Mailing Address 11301 SW 61ST COURT
City MIAMI
State FL
ZIP 33156-4939
Accounting period End 7
Primary contact name SHANI BRENNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE FALCON
PRESIDENT
11301 SW 61ST COURT
MIAMI FL 33156

Officer/Director/Trustee Two

MARY KINKADE
VICE-PRESIDENT
1507 CORUNA AVENUE
CORAL GABLES FL 33156

Officer/Director/Trustee Three

LISA HYDER
TREASURER
5975 SUNCREST DRIVE
PINECREST FL 33156

Officer/Director/Trustee Four

SHANI BRENNER
SECRETARY
9971 SW 127TH TERRACE
MIAMI FL 33176

Organization’s website
Organization’s email SFALCON39@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N67 - Swimming, Water Recreation
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 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 STEPHANIE FALCON
Signature Title PRESIDENT
Signature Date 2/18/2020

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