FORM 1023-EZ for HOLLYWOOD EAGLES YOUTH DEVELOPMENT

Field Data
EIN 83-3537336
Case Number EO-2019045-000155
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOLLYWOOD EAGLES YOUTH DEVELOPMENT
Organization’s Mailing Address 2310 FREEDOM ST
City HOLLYWOOD
State FL
ZIP 33020
Accounting period End 12
Primary contact name EDWARD FERGUSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD WALKER
PRESIDENT
2310 FREEDOM ST
HOLLYWOOD FL 33020

Officer/Director/Trustee Two

EDWARD FERGUSON
VP, DO
1401 NW 52ND ST
MIAMI FL 33142

Officer/Director/Trustee Three

CHRISTINE JONES
SECRETARY
1154 NW 15TH AVE
FORT LAUDERDALE FL 33311

Organization’s website HOLLYWOODEAGLESFL.ORG
Organization’s email HOLLYWOODEAGLESFL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RICHARD WALKER
Signature Title PRESIDENT
Signature Date 2/12/19

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