FORM 1023-EZ for CROATIA CLUB OF TAMPA BAY INC

Field Data
EIN 38-3831712
Case Number EO-2015194-000313
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CROATIA CLUB OF TAMPA BAY INC
Organization’s Mailing Address 14144 66TH STREET N
City CLEARWATER
State FL
ZIP 33764
Accounting period End 12
Primary contact name KATICA PAVICIC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATICA PAVICIC
PRESIDENT
1720 SW 27TH PLACE
OCALA FL 34471

Officer/Director/Trustee Two

FRANK SR CORDAS
VICE PRESIDENT
11485 OAKHURST ROAD APT 300
LARGO FL 33774

Officer/Director/Trustee Three

ANNA RICE
SECRETARY
13217 88TH PLACE N
SEMINOLE FL 33776

Officer/Director/Trustee Four

FRANK JR CORDAS
TREASURER
14170 HETRICK CIRCLE S
LARGO FL 33774

Officer/Director/Trustee Five

MIRKO CUKELJ
DIRECTOR
P O BOX 1003
LARGO FL 33779-1003

Organization’s website WWW.CROATIACLUBTAMPA.COM
Organization’s email KPAVICIC@CENTURYLINK.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/1996
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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