FORM 1023-EZ for LAKELAND PATRIOTS YOUTH SPORTS LEAGUE INC

Field Data
EIN 90-0941085
Case Number EO-2020120-000258
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKELAND PATRIOTS YOUTH SPORTS LEAGUE INC
Organization’s Mailing Address 1056 N LINCOLN AVENUE
City LAKELAND
State FL
ZIP 33805
Accounting period End 12
Primary contact name ANTHONY BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY BROWN
P
1056 N LINCOLN AVENUE
LAKELAND FL 33805

Officer/Director/Trustee Two

ERICKA BROWN
S
1056 N LINCOLN AVENUE
LAKELAND FL 33805

Officer/Director/Trustee Three

TARREKA SMITH
T
1056 N LINCOLN AVENUE
LAKELAND FL 33805

Organization’s website
Organization’s email COACHAMP15@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name ANTHONY BROWN
Signature Title P
Signature Date 4/27/2020
EIN 90-0941085
Case Number EO-2015092-000358
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKELAND PATRIOTS YOUTH SPORTS INC
Organization’s Mailing Address 1444 WEST HIGHLAND STREET
City LAKELAND
State FL
ZIP 33815
Accounting period End 12
Primary contact name ANTHONY BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANTHONY BROWN
PRESIDENT
1056 NORTH LINCOLN AVE
LAKELAND FL 33805

Officer/Director/Trustee Two

TARREKA SMITH
TREASURER
1412 MAPLE STREET
LAKELAND FL 33810

Officer/Director/Trustee Three

KENNY WILSON
EXECUTIVE DIRECTOR
3504 KATHY COURT
LAKELAND FL 33801

Officer/Director/Trustee Four

ERICKA BROWN
BOARD MEMBER
1056 NORTH LINCOLN AVE
LAKELAND FL 33805

Organization’s website LAKELANDPATRIOTS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2013
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
Organization’s purpose Charitable: No
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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