FORM 1023-EZ for GWEN CHERRY PARK SOCCER CLUB

Field Data
EIN 83-1839310
Case Number EO-2018253-000548
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GWEN CHERRY PARK SOCCER CLUB
Organization’s Mailing Address 2665 SOUTH LEJEUNE ROAD SUITE 304
City CORAL
State FL
ZIP 33134
Accounting period End 12
Primary contact name MARVA L WILEY ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HT SMITH
DIRECTOR
8044 SW 158 TER
MIAMI FL 33157

Officer/Director/Trustee Two

JERRY SAWYER
DIRECTOR
2380 NW 66 STREET
MIAMI FL 33147

Officer/Director/Trustee Three

ELAINE BLACK
DIRECTOR
811 NW 207 STREET
MIAMI FL 33169

Officer/Director/Trustee Four

BRENT HATCHETT
DIRECTOR
13780 SW 143 STREET
MIAMI FL 33186

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, 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 HT SMITH
Signature Title DIRECTOR
Signature Date 9/8/18

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