FORM 1023-EZ for PLANT CITY VIPERS INC

Field Data
EIN 46-4031828
Case Number EO-2015096-000117
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PLANT CITY VIPERS INC
Organization’s Mailing Address 3302 KILMER DRIVE
City PLANT CITY
State FL
ZIP 33566
Accounting period End 4
Primary contact name CLAUDE REGINALD RIVERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER RHOADS
PRESIDENT
3320 CARSON OAKS LANE
PLANT CITY FL 33565

Officer/Director/Trustee Two

CLAUDE RIVERS
VICE PRESIDENT
3302 KILMER DRIVE
PLANT CITY FL 33566

Officer/Director/Trustee Three

LILI ARMATROUT
TREASURER
6401 BARTON ROAD
PLANT CITY FL 33565

Officer/Director/Trustee Four

AMADOR REYES
DIRECTOR
2614 S WIGGINS ROAD
PLANT CITY FL 33566

Organization’s website
Organization’s email VPBAPLANTCITY@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/2013
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: No
Religious: No
Educational: No
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 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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