FORM 1023-EZ for JOSH SAMMAN MMA FOUNDATION INC
| Field | Data |
|---|---|
| EIN | 81-4146457 |
| Case Number | EO-2016357-000184 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | JOSH SAMMAN MMA FOUNDATION INC |
| Organization’s Mailing Address | PO BOX 1462 |
| City | CRAWFORDVILLE |
| State | FL |
| ZIP | 32327 |
| Accounting period End | 12 |
| Primary contact name | CHERYL PHOENIX |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CHERYL PHOENIX
CHAIR
55 RAZORBACK ROAD
CRAWFORDVILLE FL 32327
Officer/Director/Trustee Two
MITCHELL CHAMALE
BOARD MEMBER
407 RIDGE ROAD
CASSELBERRY FL 32730
Officer/Director/Trustee Three
ROBERTO CUARTERO
BOARD MEMBER
11860 PEGASUS DRIVE
JACKSONVILLE FL 32223
Officer/Director/Trustee Four
LANCE MAXWELL
BOARD MEMBER
5200 SHADY REST ROAD
HAVANA FL 32333
Officer/Director/Trustee Five
JOE BURTOFT
BOARD MEMBER
974 HIAWATHA FARMS ROAD
MONTICELLO FL 32344
| Organization’s website | WWW.SAMMANMMAFOUNDATION.ORG |
|---|---|
| Organization’s email | INFO@SAMMANFOUNDATION.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/10/2016 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| 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 | Yes |
| 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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