FORM 1023-EZ for JUNIOR CORNHOLE ORGANIZATION INC

Field Data
EIN 85-0557363
Case Number EO-2020164-000212
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JUNIOR CORNHOLE ORGANIZATION INC
Organization’s Mailing Address 957 GREENSWARD LANE
City DELRAY BEACH
State FL
ZIP 33445
Accounting period End 4
Primary contact name SCOTT SCHULTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT SCHULTZ
PTD
957 GREENSWARD LANE
DELRAY BEACH FL 33445

Officer/Director/Trustee Two

JOSEPH ADCOCK
VD
224 ENSIGH AVE
BEACHWOOD NJ 08722

Officer/Director/Trustee Three

LESLIE ADCOCK
SD
224 ENSIGH AVE
BEACHWOOD NJ 08722

Officer/Director/Trustee Four

JON PERTILE
D
4080 30TH STREET NORTH
ST PETERSBURG FL 33714

Officer/Director/Trustee Five

JON BRADY
D
882 MALCOLM CHANDLER LANE
WEST PALM BEACH FL 33401

Organization’s website JUNIORCORNHOLE.ORG
Organization’s email JUNIORCORNHOLE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 Yes
Donation of funds Yes
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 SCOTT SCHULTZ
Signature Title PTD
Signature Date 6/10/2020

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