FORM 1023-EZ for KISSIMMEE DOMINO CLUB INC

Field Data
EIN 84-3769720
Case Number EO-2019329-000522
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KISSIMMEE DOMINO CLUB INC
Organization’s Mailing Address 109 N BEAUMONT AVE
City KISSIMMEE
State FL
ZIP 34741
Accounting period End 12
Primary contact name GUSTAVO TORRES DECOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GUSTAVO TORRES
PRESIDENT
109 N BEAUMONT AVE
KISSIMMEE FL 34741

Officer/Director/Trustee Two

KELVIN SOTO
DIRECTOR
109 N BEAUMONT AVE
KISSIMMEE FL 34741

Officer/Director/Trustee Three

RAMON QUINONES
DIRECTOR
109 N BEAUMONT AVE
KISSIMMEE FL 34741

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/22/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics 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 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 Yes
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 GUSTAVO TORRES
Signature Title PRESIDENT
Signature Date 11/22/19

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