FORM 1023-EZ for DEADW8 RACING INC

Field Data
EIN 84-4658041
Case Number EO-2020177-000328
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DEADW8 RACING INC
Organization’s Mailing Address 13278 GROVER ROAD
City JACKSONVILLE
State FL
ZIP 32226-1942
Accounting period End 12
Primary contact name JOSHUA BURGESS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSHUA BURGESS
PRESIDENT
13278 GROVER RD
JACKSONVILLE FL 32226-1942

Officer/Director/Trustee Two

JENNIFER BURGESS
VICE PRESIDENT
13278 GROVER RD
JACKSONVILLE FL 32226-1942

Officer/Director/Trustee Three

ASHLEY RIVERA
TREASURER
13555 YELLOWBLUFF RD
JACKSONVILLE FL 32226-1855

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N40 - Sports Training Facilities, Agencies
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 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name JOSHUA BURGESS
Signature Title PRESIDENT
Signature Date 6/16/2020

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