FORM 1023-EZ for SOUTHERNMOST VOLLEYBALL CLUB

Field Data
EIN 46-4052975
Case Number EO-2015317-000232
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHERNMOST VOLLEYBALL CLUB
Organization’s Mailing Address 1724 PATRICIA STREET
City KEY WEST
State FL
ZIP 33040
Accounting period End 10
Primary contact name KIMBERLY BUTLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIMBERLY BUTLER
PRESDIENT
1724 PATRICIA STREET
KEY WEST FL 33040

Officer/Director/Trustee Two

JOHN GROTOWSKI
VICE PRESIDENT
3029 NORTH ROOSEVELT BLLD UNIT 20
KEY WEST FL 33040

Officer/Director/Trustee Three

SHERI GOLDING
TREASURE
569 NILES ROAD
SUMMERLAND KEY FL 33042

Officer/Director/Trustee Four

JANETTE PIKE
SECRETARY
3 TAMARIND DRIVE
KEY WEST FL 33040

Organization’s website
Organization’s email SOUTHERNMOSTVBC@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/2013
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics 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 Yes
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 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
Signature Title
Signature Date

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