FORM 1023-EZ for ITALIAN AMERICAN SOCIAL CLUB OF TAMPA BAY INC

Field Data
EIN 47-2032429
Case Number EO-2015110-000270
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ITALIAN AMERICAN SOCIAL CLUB OF TAMPA BAY INC
Organization’s Mailing Address 6916 AQUEDUCT TERRACE
City ODESSA
State FL
ZIP 33556
Accounting period End 12
Primary contact name JACK PROVENZANO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JACK PROVENZANO
PRESIDENT
6916 AQUEDUCT TERRACE
ODESSA FL 33556

Officer/Director/Trustee Two

RICH DOMINO
VICE PRESIDENT
12018 BREWSTER
TAMPA FL 33626

Officer/Director/Trustee Three

ALFONSO MARANO
SECRETARY TREASURER
21226 LAKE VIENNA DR
LAND O LAKES FL 34638

Officer/Director/Trustee Four

PETER COVINI
DIRECTOR
15805 WALDEN AVE
TAMPA FL 33618

Officer/Director/Trustee Five

FRED SEGUITI
DIRECTOR
7235 NORTH MOBLEY
ODESSA FL 33556

Organization’s website WWW.ITALIANAMERICANCLUBTAMPA.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 Yes
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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