FORM 1023-EZ for FC KICKERS INTERNATIONAL

Field Data
EIN 47-3361740
Case Number EO-2015076-000183
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FC KICKERS INTERNATIONAL
Organization’s Mailing Address 8300 NW 54 COURT
City LAUDERHILL
State FL
ZIP 33351
Accounting period End 3
Primary contact name ANN MARIE MANTLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANN MARIE MANTLE
PRESIDENT
8300 NW 54 COURT
LAUDERHILL FL 33351

Officer/Director/Trustee Two

DAVE ANGLIN
TREASURER
8300 NW 54 COURT
LAUDERHILL FL 33351

Officer/Director/Trustee Three

CARMEN MCCARTHY
SECRETARY
8300 NW 54 COURT
LAUDERHILL FL 33351

Organization’s website N/A
Organization’s email KICKERSINT@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
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 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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