FORM 1023-EZ for PALM BEACH CHESS ACADEMY

Field Data
EIN 47-1795071
Case Number EO-2014261-000416
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PALM BEACH CHESS ACADEMY
Organization’s Mailing Address 13833 WELLINGTON TRACE SUITE 4-153
City WELLINGTON
State FL
ZIP 33414
Accounting period End 8
Primary contact name STUART A HACK EA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHELLE NELSON
PRESIDENT
11356 CORALWOOD COURT
WELLINGTON FL 33414

Officer/Director/Trustee Two

WILLIAM MCCUE
VICE PRESIDENT
11564 WHITE MARSH DRIVE
WELLINGTON FL 33414

Officer/Director/Trustee Three

BUTCH ABESAMIS
TREASURER
12281 SUNSET POINT
WELLINGTON FL 33414

Officer/Director/Trustee Four

KELLY BRENNER
SECRETARY
11147 HEARTWOOD PL
WELLINGTON FL 33414

Officer/Director/Trustee Five

ANTONIS LOUDAROS
SCHOLASTIC DIRECTOR
275 MURCIA DRIVE
JUPITER FL 33458

Organization’s website
Organization’s email CHESSACADEMYPB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2014
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: No
Religious: No
Educational: Yes
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 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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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