FORM 1023-EZ for SELF MADE ATHLETES INC

Field Data
EIN 85-1613509
Case Number EO-2021100-001226
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SELF MADE ATHLETES INC
Organization’s Mailing Address 5120 FOXHALL DR S
City WEST PALM BEACH
State FL
ZIP 33417
Accounting period End 6
Primary contact name RANDOLPH WILKERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RANDOLPH WILKERSON
CHIEF EXECUTIVE OFFICER
5120 FOXHALL DR S
WEST PALM BEACH FL 33417

Officer/Director/Trustee Two

CELIENNE WILKERSON
VICE PRESIDENT
5120 FOXHALL DR S
WEST PALM BEACH FL 33417

Officer/Director/Trustee Three

MOSES SMITH
SECRETARY
1145 GOLDEN LAKES BLVD APT 715
WEST PALM BEACH FL 33411

Officer/Director/Trustee Four

SEAN WILLIAMS
DIRECTOR
2121 HARRISON AVE APT H5
PANAMA CITY FL 32405

Officer/Director/Trustee Five

ENOL GILLES
DIRECTOR
4208 SHELLEY ROAD NORTH
WEST PALM FL 33407

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/25/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RANDOLPH WILKERSON
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 3/31/2021

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