FORM 1023-EZ for JEWETT GOLF ASSOCIATION INC

Field Data
EIN 81-1894462
Case Number EO-2016130-000076
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JEWETT GOLF ASSOCIATION INC
Organization’s Mailing Address 817 WARE AVENUE NE
City WINTER HAVEN
State FL
ZIP 33881-1766
Accounting period End 12
Primary contact name NORRIS H HORTON PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NORRIS HORTON
PRESIDENT
817 WARE AVENUE NE
WINTER HAVEN FL 33881-1766

Officer/Director/Trustee Two

GERALDINE THOMPSON ROUX
SECRETARY
817 WARE AVENUE N E
WINTER HAVEN FL 33881-1766

Officer/Director/Trustee Three

TITUS COLEMAN
TREASURER
817 WARE AVENUE N E
WINTER HAVEN FL 33881-1766

Officer/Director/Trustee Four

KENDALL DENMARK
VICE PRESIDENT
817 WARE AVENUE N E
WINTER HAVEN FL 33881-1766

Officer/Director/Trustee Five

BETTY ANN SMOTHERS
FINANCIAL SECRETARY
620 AVENUE O N E
WINTER HAVEN FL 33881-1766

Organization’s website
Organization’s email NORWINES@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
Organization’s purpose Charitable: Yes
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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