FORM 1023-EZ for COURTVISION INTERNATIONAL INC

Field Data
EIN 81-0745488
Case Number EO-2016015-000447
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COURTVISION INTERNATIONAL INC
Organization’s Mailing Address 2001 BISCAYNE BLVD 3510
City MIAMI
State FL
ZIP 33137
Accounting period End 12
Primary contact name ESTEFANIA NIEWIALKOUSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID MOSCOSO
PRESIDENT
28 E JACKSON BLVD APT 1405
CHICAGO IL 60604

Officer/Director/Trustee Two

JOHN KUBACKI
VICE-PRESIDENT
5367 DAVENPORT LANE
DUBLIN OH 43016

Officer/Director/Trustee Three

ROBERT PECCHIO
EXECUTIVE DIRECTOR
225 BEAUMONT TRAIL
AURORA OH 44202

Organization’s website COURTVISIONINTERNATIONAL.ORG
Organization’s email RPECCHIO@COURTVISIONINTERNATIONAL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/5/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Conducting Activities Outside of United States Yes
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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