FORM 1023-EZ for PALM BEACH LEGENDS INC

Field Data
EIN 30-1254026
Case Number EO-2021172-000647
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PALM BEACH LEGENDS INC
Organization’s Mailing Address 6099 WALNUT HILL DRIVE
City LAKE WORTH
State FL
ZIP 33467
Accounting period End 12
Primary contact name PHIL BAKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHILIP BAKER
MGR
6099 WALNUT HILL DRIVE
LAKE WORTH FL 33467

Officer/Director/Trustee Two

LEO ROSA
MGR
19582 SPLIT RAIL RUN
LOXAHATCHEE FL 33470

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 PHILIP BAKER
Signature Title MGR
Signature Date 6/18/2021

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