FORM 1023-EZ for BACKYARD FISHING CLUB INC

Field Data
EIN 81-2984101
Case Number EO-2016190-000615
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BACKYARD FISHING CLUB INC
Organization’s Mailing Address 5930 SW 21ST ST
City PLANTATION
State FL
ZIP 33317
Accounting period End 12
Primary contact name SAMANTHA FITZGERALD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATHANIEL FISCHER
DIRECTOR
5930 SW 21ST STREET
PLANTATION FL 33317

Officer/Director/Trustee Two

ANNIE BOUCHEREAU FISCHER
DIRECTOR
5930 SW 21ST STREET
PLANTATION FL 33317

Officer/Director/Trustee Three

WILLETT FISCHER
DIRECTOR
5230 NW 14 PLACE
LAUDERHILL FL 33313

Officer/Director/Trustee Four

ZACHARY FISCHER
DIRECTOR
5230 NW 14 PLACE
LAUDERHILL FL 33313

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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
Signature Title
Signature Date

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