FORM 1023-EZ for DPHS BASEBALL FACILITIES FOUNDATIONINC

Field Data
EIN 47-4990715
Case Number EO-2016022-000194
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DPHS BASEBALL FACILITIES FOUNDATIONINC
Organization’s Mailing Address 9204 SOUTHERN BREEZE DRIVE
City ORLANDO
State FL
ZIP 32836
Accounting period End 12
Primary contact name TERESSA HAYMAKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TERESSA HAYMAKER
PRESIDENT
9204 SOUTHERN BREEZE DRIVE
ORLANDO FL 32836

Officer/Director/Trustee Two

SHELLY KOSSOFF
TREASURER
9785 CAMBERLEY CIRCLE
ORLANDO FL 32836

Officer/Director/Trustee Three

JAMIE ROEDIG
SECRETARY
8956 GREY HAWK POINT
ORLANDO FL 32836

Officer/Director/Trustee Four

MIKE MOORE
DIRECTOR
8609 LAGO COURT
ORLANDO FL 32836

Officer/Director/Trustee Five

JANET MARMAN
DIRECTOR
7433 MEGAN ELISSA LANE
ORLANDO FL 32819

Organization’s website
Organization’s email HAYMAKERT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N30 - Physical Fitness and Community Recreational Facilities
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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