FORM 1023-EZ for SOL BLAZERS LACROSSE INC

Field Data
EIN 83-2750882
Case Number EO-2018344-000419
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOL BLAZERS LACROSSE INC
Organization’s Mailing Address 6033 LADY BET DR
City ORLANDO
State FL
ZIP 32819
Accounting period End 12
Primary contact name JOSEF NORSWORTHY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEF NORSWORTHY
DIRECTOR
6033 LADY BET DR
ORLANDO FL 32819

Officer/Director/Trustee Two

CHRISTOPHER ROBINSON
DIRECTOR
1780 WELHAM ST NUMBER 270
ORLANDO FL 32814

Officer/Director/Trustee Three

JERREY THURSTON
DIRECTOR
2549 OAK ISLAND POINTE
ORLANDO FL 32809

Officer/Director/Trustee Four

KIMBERLY RICHBOURG
DIRECTOR
1248 POINSETTA AVE
ORLANDO FL 32804

Officer/Director/Trustee Five

LAURA HANLON
DIRECTOR
1191 FERN AVE
ORLANDO FL 32814

Organization’s website
Organization’s email JOE@JOENORSWORTHY.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States Yes
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 JOSEF NORSWORTHY
Signature Title DIRECTOR
Signature Date 12/7/18

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