FORM 1023-EZ for LIBERTY COUNTY ANGLERS INC

Field Data
EIN 84-3364501
Case Number EO-2020149-000115
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIBERTY COUNTY ANGLERS INC
Organization’s Mailing Address 22404 NE SR 20
City HOSFORD
State FL
ZIP 32334
Accounting period End 7
Primary contact name MELISSA POTTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JARED ROBERTS
PRESIDENT
22404 NE SR 20
HOSFORD FL 32334

Officer/Director/Trustee Two

RYAN FAIRCLOTH
VICE PRESIDENT
12600 NW FREEMAN RD
BRISTOL FL 32321

Officer/Director/Trustee Three

STEPHENIE ROBERTS
TREASURER
22404 NE SR 20
HOSFORD FL 32334

Officer/Director/Trustee Four

APRIL FAIRCLOTH
SECRETARY
12600 NW FREEMAN RD
BRISTOL FL 32321

Officer/Director/Trustee Five

MELISSA POTTER
CO-TREASURER
21888 NE CHESTER ST
HOSFORD FL 32334

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting Clubs
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MELISSA POTTER
Signature Title CO-TREASURER
Signature Date 5/26/2020

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