FORM 1023-EZ for HEARTLAND COMMUNITY AND GOLF ASSOCIATION INC

Field Data
EIN 81-4105029
Case Number EO-2020273-000672
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEARTLAND COMMUNITY AND GOLF ASSOCIATION INC
Organization’s Mailing Address PO BOX 435
City AVON PARK
State FL
ZIP 33826-0435
Accounting period End 12
Primary contact name LOUIS SUMBRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRADY BOYDEN
PRESIDENT
PO BOX 435
AVON PARK FL 33826-0435

Officer/Director/Trustee Two

ART WILLIAMS
VICE PRESIDENT
PO BOX 435
AVON PARK FL 33826-0435

Officer/Director/Trustee Three

BRENDA GRAY
TREASURER
PO BOX 435
AVON PARK FL 33826-0435

Officer/Director/Trustee Four

LOUIS SUMBRY
SECRETARY
PO BOX 435
AVON PARK FL 33826-0435

Officer/Director/Trustee Five

DAVETTEE THOMPSON
DIRECTOR
PO BOX 435
AVON PARK FL 33826-0435

Organization’s website
Organization’s email HEARTLANDCGA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N6A - Golf
Organization’s purpose Charitable: Yes
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 LOUIS SUMBRY
Signature Title SECRETARY
Signature Date 9/24/2020

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