FORM 1023-EZ for MAYHEM OF LAKELAND INC

Field Data
EIN 82-3586662
Case Number EO-2018040-000114
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MAYHEM OF LAKELAND INC
Organization’s Mailing Address 4163 MAYFAIR WAY
City LAKELAND
State FL
ZIP 33812
Accounting period End 12
Primary contact name CINDY ROACH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CINDY ROACH
PRESIDENT
4163 MAYFAIR WAY
LAKELAND FL 33812

Officer/Director/Trustee Two

DEVIN ROACH
TREASURER
4163 MAYFAIR WAY
LAKELAND FL 33812

Officer/Director/Trustee Three

SHAYLA DAVIS
SECRETARY
4163 MAYFAIR WAY
LAKELAND FL 33812

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/25/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 CINDY ROACH
Signature Title PRESIDENT
Signature Date 2/7/18

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