FORM 1023-EZ for BELLEVIEW DIXIE YOUTH INCORPORATED

Field Data
EIN 59-3103937
Case Number EO-2017250-000278
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BELLEVIEW DIXIE YOUTH INCORPORATED
Organization’s Mailing Address PO BOX 550
City BELLEVIEW
State FL
ZIP 34421
Accounting period End 12
Primary contact name HEATHER ADLEBURG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL WILKINS
PRESIDENT
PO BOX 550
BELLEVIEW FL 34421

Officer/Director/Trustee Two

HEATHER ADLEBURG
TREASURER
PO BOX 550
BELLEVIEW FL 34421

Officer/Director/Trustee Three

PATRICK LOEBIG
VICE PRESIDENT
PO BOX 550
BELLEVIEW FL 34421

Officer/Director/Trustee Four

LASHELL KITCHENS
SECRETARY
PO BOX 550
BELLEVIEW FL 34421

Organization’s website
Organization’s email MIKEWBYB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/1991
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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