FORM 1023-EZ for NBHA FL 10 INC

Field Data
EIN 82-4833309
Case Number EO-2019343-000399
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NBHA FL 10 INC
Organization’s Mailing Address PO BOX 33
City PALMDALE
State FL
ZIP 33944
Accounting period End 12
Primary contact name TAMMY SWANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMMY SWANN
DIRECTOR
PO BOX 10
PALMDALE FL 33944

Officer/Director/Trustee Two

CLARK BARROW
DIRECTOR
2469 JASPER AVE
FT MYERS FL 33907

Officer/Director/Trustee Three

PENNY NOEL
DIRECTOR
100 N CYPRESS ST
LABELLE FL 33935

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2018
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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 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 TAMMY SWANN
Signature Title DIRECTOR
Signature Date 12/6/2019

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