FORM 1023-EZ for EAST ORLANDO BLAZERS

Field Data
EIN 47-4744899
Case Number EO-2015243-000340
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EAST ORLANDO BLAZERS
Organization’s Mailing Address 1028 MAUMEE STREET
City ORLANDO
State FL
ZIP 32828
Accounting period End 12
Primary contact name URSULA ROBERTS - TREASURER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSE BENITEZ
PRESIDENT
1028 MAUMEE STREET
ORLANDO FL 32828

Officer/Director/Trustee Two

URSULA ROBERTS
TREASURER
13538 OLD DOCK ROAD
ORLANDO FL 32828

Officer/Director/Trustee Three

YOKI DELEON
DIRECTOR
14740 ROYAL POINCIANA DRIVE
ORLANDO FL 32828

Officer/Director/Trustee Four

ALICIA HODGE
DIRECTOR
3930 ANDOVER CAY BLVD
ORLANDO FL 32825

Officer/Director/Trustee Five

CANDIDA ROSA GUERRERO GUERRERO
DIRECTOR
9943 HERON POINTE DRIVE
ORLANDO FL 32832

Organization’s website AVALONPARKBLAZERS@SHUTTERFLY.COM
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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 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
Signature Title
Signature Date

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