FORM 1023-EZ for LAKE WORTH BEACH JAGUARS INC

Field Data
EIN 84-3921416
Case Number EO-2020255-000333
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE WORTH BEACH JAGUARS INC
Organization’s Mailing Address 4849 POND PINE WAY
City LAKE WORTH
State FL
ZIP 33463
Accounting period End 5
Primary contact name WILLIE DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIE DAVIS
PRESIDENT/TREASURER
4849 POND PINE WAY
LAKE WORTH FL 33463

Officer/Director/Trustee Two

GEORGE HOLLINS
VP/SECRETARY
2840 LAKE IDA RD
DELRAY BEACH FL 33445

Officer/Director/Trustee Three

ERICSON ROSEME
COMMISSIONER
10127 BOYNTON PLACE CIRCLE
BOYNTON BEACH FL 33437

Organization’s website LAKEWORTHBEACHJAGUARS.COM
Organization’s email LAKEWORTHBEACHJAGUARS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WILLIE DAVIS
Signature Title PRESIDENT/TREASURER
Signature Date 9/9/2020

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