FORM 1023-EZ for COCOA BEACH JR SR HIGH SOCCER BOOSTER CLUB INC

Field Data
EIN 47-3512910
Case Number EO-2015306-000443
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COCOA BEACH JR SR HIGH SOCCER BOOSTER CLUB INC
Organization’s Mailing Address 3960 S BANANA RIVER BLVD
City COCOA BEACH
State FL
ZIP 32931
Accounting period End 6
Primary contact name VICTORIA LOCKARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BARBARA WIDERMAN
PRESIDENT
65 BARCELONA BLVD
MERRITT ISLAND FL 32952

Officer/Director/Trustee Two

JENNIFER LYONS
VP
87 YACHT HAVEN DRIVE
COCOA BEACH FL 32931

Officer/Director/Trustee Three

FREDRICK STOTZ
SECRETARY
6503 RIDGEWOOD AVE
COCOA BEACH FL 32931

Officer/Director/Trustee Four

VICTORIA LOCKARD
REGISTERED AGEN
3960 S BANANA RIVER BLVD
COCOA BEACH FL 32931

Officer/Director/Trustee Five

LISA STOTZ
DIRECTOR
6503 RIDGEWOOD AVE
COCOA BEACH FL 32931

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2015
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: Yes
Religious: No
Educational: No
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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