FORM 1023-EZ for HIQ VOLLEYBALL CLUB INC

Field Data
EIN 47-3914164
Case Number EO-2015135-000089
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HIQ VOLLEYBALL CLUB INC
Organization’s Mailing Address 5372 GOLDDUST ROAD
City SPRING HILL
State FL
ZIP 34609
Accounting period End 12
Primary contact name BENJAMIN E CROFCHICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BENJAMIN E CROFCHICK
DIRECTOR AND PRESIDENT
5372 GOLDDUST ROAD
SPRING HILL FL 34609

Officer/Director/Trustee Two

LINDA R DOOLIN
DIRECTOR AND TREASURER
7120 ARIZONA STREET
BROOKSVILLE DE 34604

Officer/Director/Trustee Three

MARY HUBBARD
DIRECTOR AND SECRETARY
2083 MILLMOUNT LANE
SPRING HILL FL 34609

Officer/Director/Trustee Four

JAMES THOMAS JR POWERS
DIRECTOR AND VICE PRESIDENT
14174 NUGENT CIRLCE
SPRING HILL FL 34609

Organization’s website
Organization’s email LDOOLIN@TAMPABAY.RR.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
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
Signature Title
Signature Date

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