FORM 1023-EZ for BASS CAPITAL BASSMASTERS OF PALATKAINC

Field Data
EIN 83-2731685
Case Number EO-2018341-000476
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BASS CAPITAL BASSMASTERS OF PALATKAINC
Organization’s Mailing Address 225 DOGWOOD LANE
City PALATKA
State FL
ZIP 32177
Accounting period End 12
Primary contact name TIFFANY GRANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD JACKSON
PRESIDENT
225 DOGWOOD LANE
PALATKA FL 32177

Officer/Director/Trustee Two

GARY POOLE
VICE PRESIDENT
125 BROWNS ROAD
SAN MATEO FL 32287

Officer/Director/Trustee Three

TIFFANY GRANT
TREASURER
31837 CREST ROAD
EUSTIS FL 32736

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/18
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: 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 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 TIFFANY GRANT
Signature Title TREASURER
Signature Date 12/5/18

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