FORM 1023-EZ for OUR PURPOSE SPORTS FOUNDATION INC

Field Data
EIN 82-1705787
Case Number EO-2017153-000266
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OUR PURPOSE SPORTS FOUNDATION INC
Organization’s Mailing Address 405 RACETRACK RD NE SUITE 103
City FORT WALTON BEACH
State FL
ZIP 32547
Accounting period End 12
Primary contact name JASON MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON MILLER
PRESIDENT
405 RACETRACK RD NE SUITE 103
FORT WALTON BEACH FL 32547

Officer/Director/Trustee Two

JENNIFER JUTKOFSKY
VICE PRESIDENT
76 STONE MILL ROAD
HUDSON NY 12534

Officer/Director/Trustee Three

BIKES PLUS RENTALS LLC
SECRETARY
405 RACETRACK RD NE SUITE 103
FORT WALTON BEACH FL 32547

Organization’s website
Organization’s email CONTACT@OURPURPOSESF.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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 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
Signature Title
Signature Date

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