FORM 1023-EZ for MI FAMILIA VOLLEYBALL CLUB INC

Field Data
EIN 81-2994178
Case Number EO-2018241-000092
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MI FAMILIA VOLLEYBALL CLUB INC
Organization’s Mailing Address PO BOX 5783
City NAVARRE
State FL
ZIP 32566
Accounting period End 12
Primary contact name KENNETH R FOUNTAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON RANGEL
DIRECTOR
8648 OLIVERA STREET
NAVARRE FL 32566

Officer/Director/Trustee Two

CAROLINA RANGEL
OFFICER/DIRECTOR
8648 OLIVERA STREET
NAVARRE FL 32566

Officer/Director/Trustee Three

RHONDA FULFER
DIRECTOR
8223 TOLEDO STREET
NAVARRE FL 32566

Officer/Director/Trustee Four

MICHELLE CLOUTIER
OFFICER
8223 TOLEDO STREET
NAVARRE FL 32566

Organization’s website
Organization’s email MIFAMILIAVBCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/16
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
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 Yes
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 JASON RANGEL
Signature Title DIRECTOR
Signature Date 8/27/18

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