FORM 1023-EZ for LAKELAND XPRESS ALL-STARS INC

Field Data
EIN 38-3920676
Case Number EO-2015113-000084
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKELAND XPRESS ALL-STARS INC
Organization’s Mailing Address 3711 CENTURY BLVD UNIT 3
City LAKELAND
State FL
ZIP 33811
Accounting period End 6
Primary contact name KIMBERLY BROCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIMBERLY BROCK
PRESIDENT
4714 VALLEY HILL CT
LAKELAND FL 33813

Officer/Director/Trustee Two

KIMBERLY HOLLIDAY
DIRECTOR
2829 DIXIE RD
LAKELAND FL 33801

Officer/Director/Trustee Three

ANDREA WIGGINS
DIRECTOR
918 JULIE LN
LAKELAND FL 33813

Officer/Director/Trustee Four

ANGELA CONQUEST
SECRETARY
507 GLENDALE ST
LAKELAND FL 33803

Organization’s website WWW.LAKELANDXPRESSCHEER.WEEBLY.COM
Organization’s email LAKELANDXPRESSCHEER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2013
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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 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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