FORM 1023-EZ for JDL PROVIDENCE FOOTBALL INC
| Field | Data |
|---|---|
| EIN | 83-3818435 |
| Case Number | EO-2019066-000321 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | JDL PROVIDENCE FOOTBALL INC |
| Organization’s Mailing Address | 12814 BENTWATER DRIVE |
| City | JACKSONVILLE |
| State | FL |
| ZIP | 32246 |
| Accounting period End | 12 |
| Primary contact name | SCOTT HAAK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
IRVIN HAAK
PRESIDENT
12814 BENTWATER DRIVE
JACKSONVILLE FL 32246
Officer/Director/Trustee Two
MARK BAUGHMAN
SECRETARY
4068 JEBB ISLAND CIRCLE WEST
JACKSONVILLE FL 32224
Officer/Director/Trustee Three
CARL CASTA
TREASURER
3770 VALVERDE CIRCLE
JACKSONVILLE FL 32224
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/21/19 |
| 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 | IRVIN HAAK |
| Signature Title | PRESIDENT |
| Signature Date | 3/5/19 |
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