FORM 1023-EZ for JAX HOOPS INC

Field Data
EIN 83-4483731
Case Number EO-2019114-000336
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JAX HOOPS INC
Organization’s Mailing Address 1680 SMITH STREET STE 4
City ORANGE PARK
State FL
ZIP 32073
Accounting period End 12
Primary contact name ROLAND MASTANDREA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROLAND MASTANDREA
PRESIDENT
1680 SMITH STREET STE 4
ORANGE PARK FL 32073

Officer/Director/Trustee Two

MICHAEL GILLESPI
VICE PRESIDENT
1680 SMITH STREET STE 4
ORANGE PARK FL 32073

Officer/Director/Trustee Three

NICOLE BITTNER
TREASURER
1680 SMITH STREET STE 4
ORANGE PARK FL 32073

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 ROLAND MASTANDREA
Signature Title PRESIDENT
Signature Date 4/22/19

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