FORM 1023-EZ for ADAPTIVE SPORTS AND PERFORMING ARTSINSTITUTE

Field Data
EIN 86-2385558
Case Number EO-2021093-000901
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADAPTIVE SPORTS AND PERFORMING ARTSINSTITUTE
Organization’s Mailing Address 9309 POUDER LN
City NAVARRE
State FL
ZIP 32566
Accounting period End 12
Primary contact name MICHAEL BROUGHMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY BROUGHMAN
PRES
9309 POUDER LN
NAVARRE FL 32566

Officer/Director/Trustee Two

MICHAEL BROUGHMAN
VP
9309 POUDER LN
NAVARRE FL 32566

Officer/Director/Trustee Three

KALEIGH BROUGHMAN
SEC
9309 POUDER LN
NAVARRE FL 32566

Organization’s website
Organization’s email michael.t.broughman@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P7A - Disability Facilities
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHAEL BROUGHMAN
Signature Title VP
Signature Date 3/3/2021

Recently Saved Organizations

Click on the save icon from a search results or organization page.