FORM 1023-EZ for CHAMPS SQUAD FOUNDATION INC

Field Data
EIN 83-3512887
Case Number EO-2019161-000525
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHAMPS SQUAD FOUNDATION INC
Organization’s Mailing Address 1229 DAVID COURT
City WAUCHULA
State FL
ZIP 33873
Accounting period End 12
Primary contact name LOUISZELENE LOUISJEUNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LOUISZELENE LOUISJEUNE
CPST
1229 DAVID COURT
WAUCHULA FL 33873

Officer/Director/Trustee Two

VAILLAJON LOUISJEUNE
D
1229 DAVID COURT
WAUCHULA FL 33873

Officer/Director/Trustee Three

ALLEN ELLISON
D
6125 PRAISE DRIVE
SEBRING FL 33876

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: Yes
Amateur Sports: Yes
Cruelty Prevention: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LOUISZELENE LOUISJEUNE
Signature Title CPST
Signature Date 6/7/19

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