FORM 1023-EZ for ELITE PERFORMANCE ACADEMY INSIGHTING SOULS TO ACTION INC

Field Data
EIN 81-2609195
Case Number EO-2016201-000351
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELITE PERFORMANCE ACADEMY INSIGHTING SOULS TO ACTION INC
Organization’s Mailing Address 6750 NORTH ANDREWS AVENUE SUITE 200
City FORT LAUDERDALE
State FL
ZIP 33309
Accounting period End 12
Primary contact name JESSICA VERA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA VERA
PRESIDENT
3622 DUNES VISTA DR
POMPANO BEACH FL 33069

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B40 - Higher Education Institutions
Organization’s purpose Charitable: Yes
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 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
Signature Title
Signature Date

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