FORM 1023-EZ for CITRUS ATHLETIX INC

Field Data
EIN 84-1729060
Case Number EO-2019135-000136
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CITRUS ATHLETIX INC
Organization’s Mailing Address 3231 E THOMAS ST
City INVERNESS
State FL
ZIP 34453
Accounting period End 12
Primary contact name CARLA SKUHROVEC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLA SKUHROVEC
PRESIDENT / TREASURER
6300 E PEACH ST
INVERNESS FL 34452

Officer/Director/Trustee Two

DANIEL SCOTT
VICE PRESIDENT
6300 E PEACH ST
INVERNESS FL 34452

Officer/Director/Trustee Three

KENDYL WASHBURN
SECRETARY
1228 S APOPKA AVE
INVERNESS FL 34452

Organization’s website
Organization’s email CARLA@CITRUSEXTREME.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/13/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 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 CARLA SKUHROVEC
Signature Title PRESIDENT / TREASURER
Signature Date 5/13/19

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