FORM 1023-EZ for SOUTH FLORIDA SMASH HLS

Field Data
EIN 47-4754352
Case Number EO-2015226-000263
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH FLORIDA SMASH HLS
Organization’s Mailing Address 14611 SOUTHERN BLVD UNIT 692
City LOXAHATCHEE
State FL
ZIP 33470
Accounting period End 12
Primary contact name NICOLAS ATWOOD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GARY SERIGNESE
PRESIDENT
14611 SOUTHERN BLVD UNIT 692
LOXAHATCHEE FL 33470

Officer/Director/Trustee Two

KYLE KRAKOW
VICE PRESIDENT
14611 SOUTHERN BLVD UNIT 692
LOXAHATCHEE FL 33470

Officer/Director/Trustee Three

NICOLAS ATWOOD
SECRETARY
14611 SOUTHERN BLVD UNIT 692
LOXAHATCHEE FL 33470

Organization’s website HTTP://SMASHHLS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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
Signature Title
Signature Date

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