FORM 1023-EZ for BTA TRACK AND SPORTS CLUB INC

Field Data
EIN 82-2533771
Case Number EO-2020244-000353
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BTA TRACK AND SPORTS CLUB INC
Organization’s Mailing Address 8485 BUTLER GREENWOOD DRIVE
City ROYAL PALM BEACH
State FL
ZIP 33411
Accounting period End 12
Primary contact name THOMAS JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS JOHNSON
PRESIDENT
8485 BUTLER GREENWOOD DRIVE
ROYAL PALM BEACH FL 33411

Officer/Director/Trustee Two

JERALINE JOHNSON
VICE PRESIDENT
8485 BUTLER GREENWOOD DRIVE
ROYAL PALM BEACH FL 33411

Officer/Director/Trustee Three

JOE CASSELS
SECRETARY
5500 MILITARY TRAIL 22-158
JUPITER FL 33458

Officer/Director/Trustee Four

MICHELLE CASSELS
TREASURER
801 SEAFARER CIR 302
JUPITER FL 33477

Officer/Director/Trustee Five

ROSHONDRA DAVIS
BOARD MEMBER
2160 NW 70TH LANE
MARGATE FL 33063

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name THOMAS JOHNSON
Signature Title PRESIDENT
Signature Date 8/27/2020
EIN 82-2533771
Case Number EO-2017235-000467
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BTA TRACK AND SPORTS CLUB INC
Organization’s Mailing Address 8485 BUTLER GREENWOOD DR
City ROYAL PALM BEACH
State FL
ZIP 33411
Accounting period End 12
Primary contact name DORITHEA JACKSON ABA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS JOHNSON
PRESIDENT
8485 BUTLER GREENWOOD DR
ROYAL PALM BEACH FL 33411

Officer/Director/Trustee Two

JERALINE JOHNSON
VICE PRESIDENT
8485 BUTLER GREENWOOD DR
ROYAL PALM BEACH FL 33411

Officer/Director/Trustee Three

JOE CASSELLS
SECRETARY
5500 MILITARY TRAIL NO 22-158
JUPITER FL 33458

Officer/Director/Trustee Four

MICHELLE CASSELS
TREASURER
1819 18TH LANE
PALM BCH GARDENS FL 33418

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
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 Yes
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
Signature Title
Signature Date

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