FORM 1023-EZ for X FACTOR ELITES

Field Data
EIN 81-5397296
Case Number EO-2017053-000057
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name X FACTOR ELITES
Organization’s Mailing Address 830-13 A1A NORTH 245
City PONTE VEDRA
State FL
ZIP 32082
Accounting period End 2
Primary contact name XAVIER BREWER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

XAVIER BREWER
PRESIDENT
830-13 A1A NORTH 245
PONTE VEDRA FL 32082

Officer/Director/Trustee Two

RYAN WALKER
VP
11808 FAYAL DRIVE
JACKSONVILLE FL 32256

Officer/Director/Trustee Three

CHRIS BREWER
TREASURERE
2929 JUSTINA RD
JACKSONVILLE FL 32277

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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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