FORM 1023-EZ for DIXIE COUNTY QUARTERBACK CLUB INC

Field Data
EIN 46-4169235
Case Number EO-2014288-000058
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DIXIE COUNTY QUARTERBACK CLUB INC
Organization’s Mailing Address PO BOX 704
City CROSS CITY
State FL
ZIP 32628
Accounting period End 12
Primary contact name CINDY REED
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VERNON LONG
PRESIDENT
411 SE 147TH AVENUE
OLD TOWN FL 32680

Officer/Director/Trustee Two

RONALD M CASSIDY JR
VICE PRESIDENT
135 SE 66 AVENUE
CROSS CITY FL 32628

Officer/Director/Trustee Three

MELISSA LONG
SECRETARY
441 SE 147TH AVENUE
OLD TOWN FL 32680

Officer/Director/Trustee Four

CINDY REED
TREASURER
PO BOX 327
STEINHATCHEE FL 32359

Officer/Director/Trustee Five

JOEL WARD
MARKETING DIRECTOR
536 NE 753 AVENUE
OLD TOWN FL 32680

Organization’s website
Organization’s email DIXIEQUARTERBACKCLUB@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2013
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
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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