| Field | Data |
|---|---|
| EIN | 82-1384089 |
| Case Number | EO-2017229-000376 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PANHANDLE UNITED ROLLER DERBY INC |
| Organization’s Mailing Address | 548 MARY ESTHER CUT OFF STE 18 PMB |
| City | FORT WALTON BEACH |
| State | FL |
| ZIP | 32548 |
| Accounting period End | 12 |
| Primary contact name | KENNETH FOUNTAIN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
MONICA HEIMES
PRESIDENT
548 MARY ESTHER CUT OFF STE 18
FORT WALTON BEACH FL 32548
NICOLE LEE
VP ILC
548 MARY ESTHER CUT OFF STE 18
FORT WALTON BEACH FL 32548
DESTINIE HANRATTY
SECRETARY
548 MARY ESTHER CUT OFF STE 18
FORT WALTON BEACH FL 32548
DORIAN BUSBY
TREASURER
548 MARY ESTHER CUT OFF STE 18
FORT WALTON BEACH FL 32548
JASMIN VAUGHN
ATHLETIC DIRECTOR
548 MARY ESTHER CUT OFF STE 18
FORT WALTON BEACH FL 32548
| Organization’s website | WWW.PANHANDLEUNITEDROLLERDERBY.COM |
|---|---|
| Organization’s email | PANHANDLEUNITEDROLLERDERBY@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/5/2017 |
| 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: Yes Scientific: No Literary: No Public Safety: No Amateur Sports: Yes 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 | |
| Signature Title | |
| Signature Date |
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