FORM 1023-EZ for FLORIDA LACROSSE DEVELOPMENT FOUNDATION INC

Field Data
EIN 83-4357069
Case Number EO-2020311-000229
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FLORIDA LACROSSE DEVELOPMENT FOUNDATION INC
Organization’s Mailing Address 5020 CLARK ROAD SUITE 130
City SARASOTA
State FL
ZIP 34233
Accounting period End 12
Primary contact name JAMES CARVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES CARVER
PRESIDENT
500 TREVISO GRAND CIRCLE 108
NOKOMIS FL 34275

Officer/Director/Trustee Two

RALPH QUILLEN
VP
1487 SAND CASTLE ROAD
SANIBEL FL 33957

Officer/Director/Trustee Three

CORNELIUS ROCKWELL
TREASURER
158 MEDICI TERRACE
NOKOMIS FL 34275

Officer/Director/Trustee Four

CLAYTON WIGHT
SECRETARY
1451 SOUTH SHADE AVENUE
SARASOTA FL 34239

Officer/Director/Trustee Five

COLLEEN CARVER
MEMBER AT LARGE
500 TREVISO GRAND CIRCLE 108
NOKOMIS FL 34275

Organization’s website WWW.ATHLETIQYOUTH.ORG
Organization’s email COACHCARVER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 Yes
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 JAMES CARVER
Signature Title PRESIDENT
Signature Date 11/4/2020

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