FORM 1023-EZ for XTREME KIDZ SPORTS INC

Field Data
EIN 81-2967845
Case Number EO-2016231-000359
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name XTREME KIDZ SPORTS INC
Organization’s Mailing Address 13520 OLD FLORIDA CIRCLE
City HUDSON
State FL
ZIP 34669
Accounting period End 12
Primary contact name CANDY BERCHIOLLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOUGLAS MONROE
PRESIDENT
13520 OLD FLORIDA CIRCLE
HUDSON FL 34669

Organization’s website
Organization’s email DMONROEHEAT@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/2016
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: Yes
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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