FORM 1023-EZ for TITUSVILLE TERRIERS YOUTH SPORTS ASSOCIATION INC

Field Data
EIN 84-1978137
Case Number EO-2019161-000404
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TITUSVILLE TERRIERS YOUTH SPORTS ASSOCIATION INC
Organization’s Mailing Address 835 SYCAMORE STREET
City TITUSVILLE
State FL
ZIP 32780
Accounting period End 12
Primary contact name BENJAMIN C ROWLEY CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREAS FAYSON
PRESIDENT
1969 DIPOL COURTWAY
TITUSVILLE FL 32780

Officer/Director/Trustee Two

LINWOOD DAVIS
VICE PRESIDENT
1065 SOLAMERE DRIVE
TITUSVILLE FL 32780

Officer/Director/Trustee Three

MICHELLE BONNICHSEN
TREASURER
375 MAPLE PLACE
TITUSVILLE FL 32780

Officer/Director/Trustee Four

MATTHEW GRAYBILL
SECRETARY
965 BREAKAWAY TRAIL
TITUSVILLE FL 32780

Officer/Director/Trustee Five

JOI HARVEY
CHEER COORDINATOR
880 NORTH CARPENTER ROAD
TITUSVILLE FL 32796

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/20/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
Organization’s purpose Charitable: No
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 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 MICHELLE BONNICHSEN
Signature Title TREASURER
Signature Date 6/6/19

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