FORM 1023-EZ for HAWTHORNE HORNETS ALUMNI BOOSTER CLUB INC

Field Data
EIN 86-3284741
Case Number EO-2021111-000384
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAWTHORNE HORNETS ALUMNI BOOSTER CLUB INC
Organization’s Mailing Address 1216 NE 13TH ST
City GAINESVILLE
State FL
ZIP 32601
Accounting period End 7
Primary contact name SHAKEYLA GRIMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RENETTE SLATER
VICE PRESIDENT
1216 NE 13TH ST
GAINESVILLE FL 32601

Officer/Director/Trustee Two

SHAKEYLA GRIMES
PRESIDENT
3221 SE 22ND PLACE
GAINESVILLE FL 32641

Officer/Director/Trustee Three

LAWANDA RAY
TREASURER
22423 SE 61ST AVE
HAWTHORNE FL 32640

Officer/Director/Trustee Four

UBREKA BROOKS
SECRETARY
6310 SE 232ND TERR
HAWTHORNE FL 32640

Officer/Director/Trustee Five

LATRINA HICKS
TREASURER SECRETARY
110 NORTH GRAND AVE
HAWTHORNE FL 32640

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 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 SHAKEYLA GRIMES
Signature Title PRESIDENT
Signature Date 4/19/2021

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