FORM 1023-EZ for SOUTH SHORE SELECT INC

Field Data
EIN 83-2955435
Case Number EO-2019035-000805
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH SHORE SELECT INC
Organization’s Mailing Address 2407 DAKOTA ROCK DRIVE
City RUSKIN
State FL
ZIP 33570
Accounting period End 12
Primary contact name JOSIAH DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSIAH DAVIS
CHIEF EXECUTIVE OFFICER
2407 DAKOTA ROCK DRIVE
RUSKIN FL 33570

Officer/Director/Trustee Two

CRYSTAL DAVIS
SECRETARY
2407 DAKOTA ROCK DRIVE
RUSKIN FL 33570

Officer/Director/Trustee Three

DEREK CARTER
VICE PRESIDENT
1914 CITRUS LAKE COURT
RUSKIN FL 33570

Organization’s website
Organization’s email TRIPLES7V7@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 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 JOSIAH DAVIS
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 1/13/19

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