FORM 1023-EZ for SANTA ROSA ELITE SPORTS DBA PACE ELITE

Field Data
EIN 47-4974553
Case Number EO-2016358-000217
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SANTA ROSA ELITE SPORTS DBA PACE ELITE
Organization’s Mailing Address 3252 SOUTHFORK DRIVE
City PACE
State FL
ZIP 32571
Accounting period End 5
Primary contact name TIM MICHAEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIM MICHAEL
GENERAL MANAGER-PRESIDENT CFO
3252 SOUTHFORK DRIVE
PACE FL 32571

Officer/Director/Trustee Two

MARK BRABHAM
COACH-DIRECTOR
3032 GREYSTONE DRIVE
PACE FL 32571

Officer/Director/Trustee Three

ERIC KIRKPATRICK
COACH-DIRECTOR
5623 PREAKNESS CT
PACE FL 32571

Officer/Director/Trustee Four

RAVEN SMITH
COACH-DIRECTOR
4297 WINNERS GAIT CIRCLE
PACE FL 32571

Officer/Director/Trustee Five

SHAWN CROOKS
COACH-DIRECTOR
3115 SOUTHFORK DRIVE
PACE FL 32571

Organization’s website
Organization’s email PACEELITE@HOTMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2015
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: 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
Signature Title
Signature Date

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