FORM 1023-EZ for ELMS EAGLE ROBOTICS BOOSTERS INC

Field Data
EIN 81-2463739
Case Number EO-2016278-000403
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELMS EAGLE ROBOTICS BOOSTERS INC
Organization’s Mailing Address 1200 SILVER EAGLE DR
City TARPON SPRINGS
State FL
ZIP 34688-9107
Accounting period End 6
Primary contact name DAWN MONTEVAGO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAWN MONTEVAGO
PRESIDENT
1200 SILVER EAGLE DR
TARPON SPRINGS FL 34688-9107

Officer/Director/Trustee Two

STACI BENSON
VICE-PRESIDENT
1200 SILVER EAGLE DR
TARPON SPRINGS FL 34688-9107

Officer/Director/Trustee Three

TERI BROOKE
TREASURER
1200 SILVER EAGLE DR
TARPON SPRINGS FL 34688-9107

Officer/Director/Trustee Four

AMIRA RAY
SECRETARY
1200 SILVER EAGLE DR
TARPON SPRINGS FL 34688-9107

Officer/Director/Trustee Five

BETH BOLAND
FACULTY SPONSOR
1200 SILVER EAGLE DR
TARPON SPRINGS FL 34688-9107

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U41 - Computer Science
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: Yes
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
Signature Title
Signature Date

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