FORM 1023-EZ for PRIME 9 BREVARD SPORTS ACADEMY

Field Data
EIN 81-3456487
Case Number EO-2016266-000312
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PRIME 9 BREVARD SPORTS ACADEMY
Organization’s Mailing Address 3195 BURDOCK AVE
City WEST MELBOURNE
State FL
ZIP 32904
Accounting period End 8
Primary contact name RICARDO AYALA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICARDO AYALA
DIRECTOR
3195 BURDOCK AVE
WEST MELBOURNE FL 32904

Officer/Director/Trustee Two

PEDRO ENCARNACION
DIRECTOR
160 NADELL AVE
PALM BAY FL 32907

Officer/Director/Trustee Three

CESAR LOPEZ
DIRECTOR
189 DAFFODIL APT 204
PALM BAY FL 32908

Organization’s website PRIME9BREVARD.COM
Organization’s email PRIME9BREVARD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/4/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 Yes
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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