FORM 1023-EZ for FLORIDA ICE HOCKEY ATHLETES INC

Field Data
EIN 82-2539079
Case Number EO-2017236-000244
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLORIDA ICE HOCKEY ATHLETES INC
Organization’s Mailing Address 3601 BARNWEILL ST
City LAND O' LAKES
State FL
ZIP 34638
Accounting period End 12
Primary contact name MICHAEL GRANDE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL GRANDE
P
3601 BARNWEILL ST
LAND O' LAKES FL 34638

Officer/Director/Trustee Two

MATTHEW JAMISON
VP
407 BUTTONWOOD LN
LARGO FL 33770

Officer/Director/Trustee Three

MARK KILLEN
T
11703 PHOENIX CIRCLE
TAMPA FL 33618

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 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 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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