FORM 1023-EZ for SHOOTING STAR FOUNDATION INC

Field Data
EIN 27-0937755
Case Number EO-2018011-000109
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHOOTING STAR FOUNDATION INC
Organization’s Mailing Address 16207 STATE ROAD 50
City CLERMONT
State FL
ZIP 34711
Accounting period End 12
Primary contact name JULIE DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACQUELINE HERNANDEZ
PRESIDENT
13432 BONICA WAY
WINDERMERE FL 34786

Officer/Director/Trustee Two

DESSIREE FIGUEROA
VICE-PRESIDENT
157 BLACKSTONE CREEK RD
GROVELAND FL 34736

Officer/Director/Trustee Three

JULIE DAVIS
SECRETARY
17949 GOURD NECK LOOP
WINTER GARDEN FL 34787

Officer/Director/Trustee Four

GEORGE DAVIS
TREASURER
17949 GOURD NECK LOOP
WINTER GARDEN FL 34787

Organization’s website WWW.SSDELITE.COM
Organization’s email SHOOTINGSTARSBOOSTERCLUB@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/09
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A62 - Dance
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name JULIE DAVIS
Signature Title SECRETARY
Signature Date 1/9/18

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