FORM 1023-EZ for DAYTONA JAGUARS MENTORS AND SPORTS

Field Data
EIN 83-2679116
Case Number EO-2018337-000353
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DAYTONA JAGUARS MENTORS AND SPORTS
Organization’s Mailing Address 711 ESSES RD
City DAYTONA BEACH
State FL
ZIP 32114
Accounting period End 12
Primary contact name ALLEN WILDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALLEN WILDER
PRESIDENT
711 ESSEX RD
DAYTONA BEACH FL 32114

Officer/Director/Trustee Two

SHAUN WILDER
VICE PRESIDENT
711 ESSEX RD
DAYTONA BEACH FL 32114

Officer/Director/Trustee Three

JAKARA LEWIS
TREASURER
711 ESSEX RD
DAYTONA BEACH FL 32114

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A11 - Single Organization Support
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALLEN WILDER
Signature Title PRESIDENT
Signature Date 11/30/18

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