FORM 1023-EZ for US POLE SPORTS FEDERATION

Field Data
EIN 46-5696011
Case Number EO-2016319-000275
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name US POLE SPORTS FEDERATION
Organization’s Mailing Address 3738 SOUTHSIDE BLVD SUITE 106
City JACKSONVILLE
State FL
ZIP 32216
Accounting period End 12
Primary contact name SUMMER VYNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALLISON SIPES
VICE PRESIDENT
3738 SOUTHSIDE BLVD
JACKSONVILLE FL 32216

Officer/Director/Trustee Two

SCHANNON HESTER
SECRETARY
3738 SOUTHSIDE BLVD
JACKSONVILLE FL 32216

Officer/Director/Trustee Three

SUMMER VYNE
PRESIDENT
3738 SOUTHSIDE BLVD
JACKSONVILLE FL 32216

Organization’s website WWW.USPOLESPORTSFED.ORG
Organization’s email PRESIDENT@USAPOLESPORTS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N03 - Professional Societies, Associations
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 Yes
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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