FORM 1023-EZ for OAX CARES BOOSTER CLUB

Field Data
EIN 82-5249722
Case Number EO-2018164-000094
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OAX CARES BOOSTER CLUB
Organization’s Mailing Address 1202 SW 17TH STREET SUITE 201-124
City OCALA
State FL
ZIP 34471
Accounting period End 12
Primary contact name CYNDI GONZALEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CYNDI GONZALEZ
PRESIDENT
7099 SE 22ND AVE
OCALA FL 34480

Officer/Director/Trustee Two

BEKKI KOPPENHAFER
TREASURER
628 SE 24TH STREET
OCALA FL 34480

Officer/Director/Trustee Three

RENEE JONES
DIRECTOR
5114 SE 41ST AVE
OCALA FL 34481

Officer/Director/Trustee Four

MICHELLE QUINTON
DIRECTOR
5091 SE 17TH STREET
OCALA FL 34471

Organization’s website
Organization’s email OAXCARES@OCALAATHLETIX.XOM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 CYNDI GONZALEZ
Signature Title PRESIDENT
Signature Date 6/11/18

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