FORM 1023-EZ for PINELLAS SPORTS OFFICIALS ASSOCIATION

Field Data
EIN 20-3218514
Case Number EO-2014323-000322
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PINELLAS SPORTS OFFICIALS ASSOCIATION
Organization’s Mailing Address P O BOX 76543
City ST PETERSBURG
State FL
ZIP 33763-6543
Accounting period End 12
Primary contact name PATRIC BEAUCHAMP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOM TIEDEMAN
PRESIDENT
2987 WINDMOOR DV S
PALM HARBOR FL 34685

Officer/Director/Trustee Two

PATRIC BEAUCHAMP
TREASURER
13223 110TH AVE
LARGO FL 33774

Officer/Director/Trustee Three

JOSEPH APPLE
SECRETARY
1201 SEMINOLE BLVD APT 361
LARGO FL 33770

Officer/Director/Trustee Four

DARALD OSBORNE
VICE PRESIDENT
13755 CADEN GLEN DV
HUDSON FL 34669

Officer/Director/Trustee Five

CHARLIE OWENS
SCHEDULER
5235 20TH ST N
ST. PETERSBURG FL 33714

Organization’s website WWW.PINELLASSPORTSOFFICIALSASSOCIATION.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2005
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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