FORM 1023-EZ for FLORIDA EXPLORER BOOT CAMP

Field Data
EIN 46-2799198
Case Number EO-2016218-000122
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLORIDA EXPLORER BOOT CAMP
Organization’s Mailing Address 522 NW SLEEPY COURT
City WHITE SPRINGS
State FL
ZIP 32096-7659
Accounting period End 12
Primary contact name BEVERLY L BRAZIL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BEVERLY BRAZIL
BOARD MEMBER
522 NW SLEEPY COURT
WHITE SPRINGS FL 32096-7659

Officer/Director/Trustee Two

THOMAS KIFFNEY
BOARD MEMBER
1041 NE 36TH AV
HOMESTEAD FL 33033-7685

Officer/Director/Trustee Three

RICH GARDEN
BOARD MEMBER
7848 AUTUMN WOOD DR
ORLANDO FL 32825-8885

Officer/Director/Trustee Four

SHEILA SWINDLE
BOARD MEMBER
7504 GRAPEVIEW BLVD
LOXAHATCHEE FL 33470-9200

Organization’s website WWW.FLBOOTCAMP.COM
Organization’s email TOM@FLBOOTCAMP.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2010
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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
Signature Title
Signature Date

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