FORM 1023-EZ for COLLEGIATE PREP FC INC

Field Data
EIN 82-1046462
Case Number EO-2017201-000392
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COLLEGIATE PREP FC INC
Organization’s Mailing Address 16552 SW 39T STREET
City MIRAMAR
State FL
ZIP 33027
Accounting period End 12
Primary contact name RICK RETAMOSO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDY HERRON
PRESIDENT
2613 SOLERO AVENUE APT 101
HOLLYWOOD FL 33024

Officer/Director/Trustee Two

JOSE M GARCIA RINCON
VICE-PRESIDENT
5002 SW 173RD AVENUE
MIRAMAR FL 33029

Officer/Director/Trustee Three

HOWEN HERNANDEZ
TREASURER
16552 SW 39TH STREET
MIRAMAR FL 33027

Officer/Director/Trustee Four

RICK RETAMOSO
SECRETARY
106 NW 135TH WAY APT 302
PLANTATION FL 33325

Organization’s website WWW.COLLEGIATEPREPFC.ORG
Organization’s email COLLEGIATEPREPFC@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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
Signature Title
Signature Date

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