FORM 1023-EZ for BRONSON EAGLES QUARTERBACK CLUB

Field Data
EIN 83-2985027
Case Number EO-2019184-000114
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRONSON EAGLES QUARTERBACK CLUB
Organization’s Mailing Address PO BOX 1814
City BRONSON
State FL
ZIP 32621-1814
Accounting period End 12
Primary contact name MELINDA CHEMIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARYL OSTEEN
PRESIDENT
5012 NE 153RD AVENUE
WILLISTON FL 32696-6249

Officer/Director/Trustee Two

MICAH HERRON
VICE PRESIDENT
20 DEER TRAIL CIRCLE
BRONSON FL 32621

Officer/Director/Trustee Three

AMANDA DEAN
SECRETARY
PO BOX 1311
BRONSON FL 32621-1311

Officer/Director/Trustee Four

MELINDA CHEMIN
TREASURER
PO BOX 1141
BRONSON FL 32621-1411

Organization’s website
Organization’s email BRONSONEAGLESQUARTERBACKCLUB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 MELINDA CHEMIN
Signature Title TREASURER
Signature Date 7/1/19

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