FORM 1023-EZ for AVON PARK CHAMPIONS CLUB INC

Field Data
EIN 45-4333503
Case Number EO-2016312-000366
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AVON PARK CHAMPIONS CLUB INC
Organization’s Mailing Address 24 SOUTH LAKE AVENUE
City AVON PARK
State FL
ZIP 33825
Accounting period End 12
Primary contact name DEVON DONALDSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES DEVLIN
DIRECTOR
24 SOUTH LAKE AVENUE
AVON PARK FL 33825

Officer/Director/Trustee Two

SETH LAMBERT
DIRECTOR
210 NORTH LOTELA AVENUE
AVON PARK FL 33825

Officer/Director/Trustee Three

DOUG LEMLER
DIRECTOR
409 S CHRISTY JO DRIVE
AVON PARK FL 33825

Officer/Director/Trustee Four

DEVON DONALDSON
DIRECTOR
120 SOUTH LAKE AVENUE
AVON PARK FL 33825

Officer/Director/Trustee Five

MONICA GERMAINE
DIRECTOR
800 EAST MAIN STREET
AVON PARK FL 33825

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/30/2012
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: Yes
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 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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