FORM 1023-EZ for INDIANTOWN COMMUNITY ATHLETICS ASSOCIATION INC

Field Data
EIN 82-4463091
Case Number EO-2018052-000258
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INDIANTOWN COMMUNITY ATHLETICS ASSOCIATION INC
Organization’s Mailing Address 16300 SW FAMEL AVE
City INDIANTOWN
State FL
ZIP 34956
Accounting period End 12
Primary contact name LEON P WILDE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT WATSON
PRESIDENT
16300 SW FAMEL AVE
INDIANTOWN FL 34956

Officer/Director/Trustee Two

JACKIE CLARK
VICE PRESIDENT
16300 SW FAMEL AVE
INDIANTOWN FL 34956

Officer/Director/Trustee Three

HEIDI DOVE
SECRETARY
16300 SW FAMEL AVE
INDIANTOWN FL 34956

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 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 SCOTT WATSON
Signature Title PRESIDENT
Signature Date 2/19/18

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