FORM 1023-EZ for SOUTH BAY HOCKEY INC

Field Data
EIN 82-4655042
Case Number EO-2018106-000893
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH BAY HOCKEY INC
Organization’s Mailing Address 12407 BELCROFT DR
City RIVERVIEW
State FL
ZIP 33579
Accounting period End 12
Primary contact name MATTHEW SCRIBNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW SCRIBNER
PRESIDENT/DIRECTOR
12407 BELCROFT DR
RIVERVIEW FL 33579

Officer/Director/Trustee Two

KIM HONRUD
DIRECTOR
12407 BELCROFT DR
RIVERVIEW FL 33579

Officer/Director/Trustee Three

JAMES SCRIBER
DIRECTOR
80 KETTLE CREEK ROAD
WESTON CT 6883

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/18
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: Yes
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 MATTHEW SCRIBNER
Signature Title PRESIDENT/DIRECTOR
Signature Date 4/3/18

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