FORM 1023-EZ for SOUTH FLORIDA FASTBREAK INC

Field Data
EIN 82-3610159
Case Number EO-2018130-000173
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH FLORIDA FASTBREAK INC
Organization’s Mailing Address 12692 ORANGE BLVD
City WEST PALM BEACH
State FL
ZIP 33412
Accounting period End 12
Primary contact name JODY BRANNON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JODY BRANNON
PRESIDENT
12692 ORANGE BLVD
WEST PALM BEACH FL 33412

Officer/Director/Trustee Two

BRUCE GAFFNEY
VICE PRESIDENT
3381 JOG PARK DR
GREENACRES FL 33467

Officer/Director/Trustee Three

CANDACE LANE
SECRETARY
1201 BAY VIEW WAY
WELLINGTON FL 33414

Organization’s website SOUTHFLORIDAFASTBREAK.ORG
Organization’s email JODY@SOUTHFLORIDAFASTBREAK.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JODY BRANNON
Signature Title PRESIDENT
Signature Date 5/7/18

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