FORM 1023-EZ for LAKE PLACID YOUTH SPORTS INC

Field Data
EIN 82-5272168
Case Number EO-2018115-000181
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE PLACID YOUTH SPORTS INC
Organization’s Mailing Address P O BOX 1736
City LAKE PLACID
State FL
ZIP 33862
Accounting period End 12
Primary contact name IVORY WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

IVORY WILLIAMS
PRESIDENT
109 SAMUEL AVE
LAKE PLACID FL 33852

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A11 - 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name IVORY WILLIAMS
Signature Title PRESIDENT
Signature Date 4/23/18

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