FORM 1023-EZ for PACE HIGH SCHOOL LADY PATRIOTS SOCCER CLUB

Field Data
EIN 87-1178832
Case Number EO-2021211-000342
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PACE HIGH SCHOOL LADY PATRIOTS SOCCER CLUB
Organization’s Mailing Address 4282 HAVENCREST DRIVE
City PACE
State FL
ZIP 32571
Accounting period End 12
Primary contact name TIFFANY A SULLIVAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GERARD BASEL
PRESIDENT
4139 LANCASTER GATE DRIVE
PACE FL 32571

Officer/Director/Trustee Two

WYNDI WHEATON
V PRESIDENT
4110 CHARTWELL STREET
PACE FL 32571

Officer/Director/Trustee Three

JUSTIN BAILEY
SECRETARY
3957 FLOUR MILL CIRCLE
PACE FL 32571

Officer/Director/Trustee Four

MELISSA BIANCA
TREASURER
3957 MISTY WOODS CIRCLE
PACE FL 32571

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
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 GERARD BASEL
Signature Title PRESIDENT
Signature Date 7/28/2021

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