FORM 1023-EZ for VERUM SPORTS TALENT ADVOCATES CORPORATION

Field Data
EIN 82-3323673
Case Number EO-2018128-000386
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VERUM SPORTS TALENT ADVOCATES CORPORATION
Organization’s Mailing Address 12092 JEWELL FISH LANE
City ORLANDO
State FL
ZIP 32827
Accounting period End 12
Primary contact name MARIO JIMENEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIO JIMENEZ
PRESIDENT
9670 CYPRESS PINE ST
ORLANDO FL 32827

Officer/Director/Trustee Two

RAPHAEL BONES
PRESIDENT
12092 JEWEL FISH LANE
ORLANDO FL 32827

Officer/Director/Trustee Three

JOSE QUINONEZ
SECRETARY
1513 HARRIER DR
ORLANDO FL 32837

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 MARIO JIMENEZ
Signature Title PRESIDENT
Signature Date 5/1/18

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