FORM 1023-EZ for INTERLACHEN HIGH SCHOOL QUARTERBACKCLUB

Field Data
EIN 47-1732562
Case Number EO-2015268-000213
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INTERLACHEN HIGH SCHOOL QUARTERBACKCLUB
Organization’s Mailing Address POST OFFICE BOX 66
City MELROSE
State FL
ZIP 32666
Accounting period End 3
Primary contact name TRICIA TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TRICIA TAYLOR
PRESIDENT
1671 BADEN POWELL RD
HAWTHORNE FL 32640

Officer/Director/Trustee Two

BOBBI OKESSON
VICE PRESIDENT
421 TOPPER ST
INTERLACHEN FL 32148

Officer/Director/Trustee Three

TARA CREWS
TREASURER
POST OFFICE BOX 1301
INTERLACHEN FL 32148

Officer/Director/Trustee Four

BETSAIDA CALERO
SECRETARY
103 RHODODENDRON
INTERLACHEN FL 32148

Organization’s website WWW.FIGHTINGRAMSFOOTBALL.WORDPRESS.COM
Organization’s email IHSQUARTERBACKCLUB@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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