FORM 1023-EZ for SPECIAL OPERATIONS SPARTAN FOUNDATION INC

Field Data
EIN 85-1284608
Case Number EO-2020160-000146
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPECIAL OPERATIONS SPARTAN FOUNDATION INC
Organization’s Mailing Address 7561 BLACKBIRD STREET
City TAMPA
State FL
ZIP 33621
Accounting period End 12
Primary contact name JUAN SALAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUAN SALAS
PRESIDENT
7561 BLACKBIRD STREET
TAMPA FL 33621

Officer/Director/Trustee Two

DOUGLAS LAPEL
VICE PRESIDENT
7561 BLACKBIRD STREET
TAMPA FL 33621

Officer/Director/Trustee Three

RENATA BAGLEY
SECRETARY
7561 BLACKBIRD STREET
TAMPA FL 33621

Officer/Director/Trustee Four

SAMANTHA BAMBINO
TREASURER
7561 BLACKBIRD STREET
TAMPA FL 33621

Officer/Director/Trustee Five

BRYAN KARASON
DIRECTOR
7561 BLACKBIRD STREET
TAMPA FL 33621

Organization’s website
Organization’s email JUAN.SALAS@SOCOM.MIL
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Donation of funds Yes
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 No
Correctness Declaration Yes
Signature Name JUAN SALAS
Signature Title PRESIDENT
Signature Date 6/4/2020

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