FORM 1023-EZ for NEW WAVE GYMNASTICS BOOSTER CLUB ASSOCIATION

Field Data
EIN 87-2501594
Case Number EO-2021273-000216
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEW WAVE GYMNASTICS BOOSTER CLUB ASSOCIATION
Organization’s Mailing Address 7695 GREENBORO DR
City MELBOURNE
State FL
ZIP 32904
Accounting period End 7
Primary contact name COURTNEY HISEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAWNYA EVANS
PRESIDENT
4002 PALLADIAN WAY
MELBOURNE FL 32904

Officer/Director/Trustee Two

COURTNEY HISEY
TREASURER
7695 GREENBORO DR
MELBOURNE FL 32904

Officer/Director/Trustee Three

MICHAEL KLEIZO
VICE PRESIDENT
1254 WINDINGDALE ST SE
PALM BAY FL 32909

Officer/Director/Trustee Four

BRITTANY HOLSTINE
SECRETARY
779 JOHN CARROLL LN
WEST MELBOURNE FL 32904

Organization’s website
Organization’s email NEWWAVEBOOSTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 COURTNEY HISEY
Signature Title TREASURER
Signature Date 9/28/2021

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