FORM 1023-EZ for ZEPHYRHILLS ATHLETIC LEAGUE CORPORATION

Field Data
EIN 82-1268220
Case Number EO-2018011-000134
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ZEPHYRHILLS ATHLETIC LEAGUE CORPORATION
Organization’s Mailing Address 4626 KRUSEN FIELD ROAD
City ZEPHYRHILLS
State FL
ZIP 33540
Accounting period End 12
Primary contact name DAMION PICKETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAMION PICKETT
PRESIDENT
4626 KRUSEN FIELD ROAD
ZEPHYRHILLS FL 33540

Officer/Director/Trustee Two

VALAREE VANN
TREASURER
39221 LIZBETH CIRCLE
ZEPHYRHILLS FL 33542

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/17
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAMION PICKETT
Signature Title PRESIDENT
Signature Date 1/9/18

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