FORM 1023-EZ for FLORIDA PHOENIX BASKETBALL

Field Data
EIN 84-5020636
Case Number EO-2020069-000597
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FLORIDA PHOENIX BASKETBALL
Organization’s Mailing Address 4743 WHITE HERON DRIVE
City MELBOURNE
State FL
ZIP 32934
Accounting period End 12
Primary contact name URSULA NORRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

URSULA NORRIS
PRESIDENT
4743 WHITE HERON DRIVE
MELBOURNE FL 32934

Officer/Director/Trustee Two

ERIC NORRIS
VICE PRESIDENT
4743 WHITE HERON DRIVE
MELBOURNE FL 32934

Officer/Director/Trustee Three

BERNIE GIPSON
TREASURER
1510 JACOBIN STREET NW
PALM BAY FL 32907

Officer/Director/Trustee Four

MADGELINE WILSON
DIRECTOR
1662 EISENHOWER AVENUE
MELBOURNE FL 32935

Officer/Director/Trustee Five

RHONDA MC DANIEL
DIRECTOR
610 WICKHAM LAKES DRIVE
MELBOURNE FL 32940

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/2020
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: 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 URSULA NORRIS
Signature Title PRESIDENT
Signature Date 3/6/2020

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