FORM 1023-EZ for GROM SQUAD MTB INC
| Field | Data |
|---|---|
| EIN | 84-3594989 |
| Case Number | EO-2020139-000543 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | GROM SQUAD MTB INC |
| Organization’s Mailing Address | 3737 ROYAL CYPRESS LANE |
| City | LAKE WORTH |
| State | FL |
| ZIP | 33467 |
| Accounting period End | 12 |
| Primary contact name | CHRISTINE BREEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CHRISTINE BREEN
PRESIDENT/DIRECTOR
3737 ROYAL CYPRESS LANE
LAKE WORTH FL 33467
Officer/Director/Trustee Two
MATTHEW BREEN
TREASURER/DIRECTOR
3737 ROYAL CYPRESS LANE
LAKE WORTH FL 33467
Officer/Director/Trustee Three
ROBERT JOSEPH MACALPINE
SECRETARY/DIRECTOR
11930 NW 31ST STREET
SUNRISE FL 33323
Officer/Director/Trustee Four
DAVID SCHMIDT
DIRECTOR
1288 SW 18TH STREET
BOCA RATON FL 33486
Officer/Director/Trustee Five
BRYAN ROLANDO PARRA
DIRECTOR
5291 SW 4TH CT
PLANTATION FL 33317
| Organization’s website | |
|---|---|
| Organization’s email | INFO@GROMSQUADMTB.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/4/2019 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O50 - Youth Development Programs, Other |
| 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 | CHRISTINE BREEN |
| Signature Title | PRESIDENT/DIRECTOR |
| Signature Date | 5/16/2020 |
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