FORM 1023-EZ for LADY MANTAS BASKETBALL BOOSTERS CLUB INC

Field Data
EIN 85-3804228
Case Number EO-2021064-000713
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LADY MANTAS BASKETBALL BOOSTERS CLUB INC
Organization’s Mailing Address PO BOX 92
City ENGLEWOOD
State FL
ZIP 34295
Accounting period End 12
Primary contact name ALEJANDRA JUFFE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAYLA REID
PRESIDENT
PO BOX 92
ENGLEWOOD FL 34295

Officer/Director/Trustee Two

STEPHANIE CARROLL
VICE PRESIDENT
PO BOX 92
ENGLEWOOD FL 34295

Officer/Director/Trustee Three

CINDY GOOGINS
TREASURER
PO BOX 92
ENGLEWOOD FL 34295

Officer/Director/Trustee Four

MICHELLE ORRIS
SECRETARY
PO BOX 92
ENGLEWOOD FL 34295

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KAYLA REID
Signature Title PRESIDENT
Signature Date 1/5/2021

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