FORM 1023-EZ for JAMES CLUB RECOVERY FOUNDATION INC

Field Data
EIN 82-3356823
Case Number EO-2019269-000225
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JAMES CLUB RECOVERY FOUNDATION INC
Organization’s Mailing Address 4200 LARGE LEAF LANE
City HOLLYWOOD
State FL
ZIP 33021
Accounting period End 12
Primary contact name TRACEY CASTILLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAYMOND RAPAGLIA
PRESIDENT
4200 LARGE LEAF LANE
HOLLYWOOD FL 33021

Officer/Director/Trustee Two

SAMUEL LOPEZ
VP
1806 N FLAMINGO RD STE 331
HOLLYWOOD FL 33028

Officer/Director/Trustee Three

TRACEY CASTILLO
TREAS
4200 LARGE LEAF LANE
HOLLYWOOD FL 33021

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RAYMOND RAPAGLIA
Signature Title PRESIDENT
Signature Date 9/24/19

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