FORM 1023-EZ for POLK COUNTY VOLLEYBALL OFFICIALS ASSOCIATION INC

Field Data
EIN 86-2981791
Case Number EO-2021103-000715
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POLK COUNTY VOLLEYBALL OFFICIALS ASSOCIATION INC
Organization’s Mailing Address 4504 CRYSTAL BEACH RD
City MULBERRY
State FL
ZIP 33880
Accounting period End 5
Primary contact name PETER M LUCIANO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETER LUCIANO
PRESIDENT
129 LAKE MICHIGAN DRIV
MULBERRY FL 33860

Officer/Director/Trustee Two

PEGGY WHITE
BOOKING COMMISSIONER
4504 CRYSTAL BEACH RD
WINTER HAVENN FL 33880

Officer/Director/Trustee Three

DAWNETTA HAYHES
SECRETARY
235 SOLIS DR
WINTER HAVEN FL 33830

Officer/Director/Trustee Four

DEBBIE KNUTH
VICE PRESIDENT
515 LORRAINE CIRCLE
LAKE WALES FL 33853

Officer/Director/Trustee Five

MARGARET HALLER
TREASURER
2310 LAKE JAMES WAY
LAKELAND FL 33810

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PETER LUCIANO
Signature Title PRESIDENT
Signature Date 4/6/2021

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