FORM 1023-EZ for FRIENDS OF TAMPA ROLLER DERBY CORP

Field Data
EIN 47-2683575
Case Number EO-2015020-000216
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF TAMPA ROLLER DERBY CORP
Organization’s Mailing Address 7505 S SPARKMAN ST
City TAMPA
State FL
ZIP 33616-2152
Accounting period End 12
Primary contact name LEANN THROLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LEANN THROLSON
PRESIDENT
7505 S SPARKMAN ST
TAMPA FL 33616-2152

Officer/Director/Trustee Two

CHRISTINA CRAIG
VICE PRESIDENT
807 EAST RIVER DRIVE
TAMPA FL 33617-7839

Officer/Director/Trustee Three

STACY GOLDEN
SECRETARY
12413 HIDDEN BROOK DR
TAMPA FL 33617-7839

Officer/Director/Trustee Four

SHANNON FORBES
TREASURER
6475 CEDARBROOK DR SOUTH
PINELLAS PARK FL 33782-2044

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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
Signature Title
Signature Date

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