FORM 1023-EZ for WINTER HAVEN UNITED FC INC

Field Data
EIN 82-3435366
Case Number EO-2018078-000254
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WINTER HAVEN UNITED FC INC
Organization’s Mailing Address 6039 CYPRESS GARDENS BLVD SUITE 165
City WINTER HAVEN
State FL
ZIP 33884
Accounting period End 12
Primary contact name TAWANDA P KASEKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARRIE-ANN LUKAS-BRADY
PRESIDENT
136 MILLER DRIVE
WINTER HAVEN FL 33884

Officer/Director/Trustee Two

MKOSANA LUCKYMORE
VICE-PRESIDENT
327 ELLINGTON AVENUE EAST
GARDEN CITY NY 11520

Officer/Director/Trustee Three

TAWANDA P KASEKE
TREASURER
417 ST ANNS DRIVE
WINTER HAVEN FL 33884

Officer/Director/Trustee Four

RENEE BUDDE
SECRETARY
6039 CYPRESS GARDENS BLVD 165
WINTER HAVEN FL 33884

Officer/Director/Trustee Five

FERNANDO MIRANDA
DIRECTOR
109 N LAKE FLORENCE DRIVE
WINTER HAVEN FL 33884

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/20/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TAWANDA P KASEKE
Signature Title TREASURER
Signature Date 3/15/18

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