FORM 1023-EZ for CHAMPIONS FOR HUMANITY INC

Field Data
EIN 82-2182378
Case Number EO-2017202-000269
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHAMPIONS FOR HUMANITY INC
Organization’s Mailing Address 2805 E OAKLAND PARK BLVD STE 600
City FORT LAUDERDALE
State FL
ZIP 33306
Accounting period End 6
Primary contact name JAY NEWMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAY NEWMAN
DIRECTOR
2805 E OAKLAND PARK BLVD STE 600
FORT LAUDERDALE FL 33306

Officer/Director/Trustee Two

MARK SOLOWAY
DIRECTOR
19 PATRICIA ROAD
ORINDA CA 94563

Officer/Director/Trustee Three

DAVID DAVIS
DIRECTOR
10740 CHESTNUT RIDGE ROAD
AUSTIN TX 78726

Organization’s website WWW.CHAMPIONSFORHUMANITY.ORG
Organization’s email INFO@CHAMPIONSFORHUMANITY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
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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