FORM 1023-EZ for POLK COUNTY GATORS

Field Data
EIN 83-1479357
Case Number EO-2020049-000514
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POLK COUNTY GATORS
Organization’s Mailing Address 1184 S LAKESHORE BLVD
City LAKE WALES
State FL
ZIP 33853
Accounting period End 12
Primary contact name KATHERINE HETER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLARK HETER
CEO
1184 S LAKESHORE BLVD
LAKE WALES FL 33853

Officer/Director/Trustee Two

KATHERINE HETER
COO
1184 S LAKESHORE BLVD
LAKE WALES FL 33853

Officer/Director/Trustee Three

JORGE HERNANDEZ
CSO
34 PINE RD
BAPBSON PARK FL 33827

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 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 KATHERINE HETER
Signature Title COO
Signature Date 2/14/2020

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