FORM 1023-EZ for FOUR GOLF LEGENDS INC

Field Data
EIN 30-0750210
Case Number EO-2014358-000040
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOUR GOLF LEGENDS INC
Organization’s Mailing Address 2000 E 12TH AVE STE 5942
City TAMPA
State FL
ZIP 33675-9001
Accounting period End 12
Primary contact name GEORGE SHAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GEORGE SHAW
PRESIDENT
2000 E 12TH AVE STE 5942
TAMPA FL 33675-9001

Officer/Director/Trustee Two

DIASHEY LOWE
TREASURE
2000 E 12TH AVE
TAMPA FL 33675-9001

Officer/Director/Trustee Three

DERLYN E GLOVER
VIC E PRESIDENT
2000 E 12TH AVE STE 5942
TAMPA FL 33675-9001

Organization’s website
Organization’s email SHAWGEORGE45@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/2012
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N5O -
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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