FORM 1023-EZ for CYPRESS BAY LIGHTNING FOOTBALL BOOSTER CLUB INC

Field Data
EIN 85-0805754
Case Number EO-2020283-000374
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CYPRESS BAY LIGHTNING FOOTBALL BOOSTER CLUB INC
Organization’s Mailing Address 648 NANDINA DRIVE
City WESTON
State FL
ZIP 33327
Accounting period End 12
Primary contact name KEVIN GILES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN GILES
PRESIDENT
648 NANDINA DRIVE
WESTON FL 33327

Officer/Director/Trustee Two

JENNIFER PRIGMORE
VICE PRESIDENT
3947 CASCADE TER
WESTON FL 33332

Officer/Director/Trustee Three

HENRY SEGNINI
TREASURER
1850 SIRIUS LANE
WESTON FL 33327

Officer/Director/Trustee Four

GINNA LOPEZ-VARGAS
SECRETARY
2082 AUGUSTA
WESTON FL 33326

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KEVIN GILES
Signature Title PRESIDENT
Signature Date 10/7/2020

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