FORM 1023-EZ for CUDAS SOCCER BOOSTER CLUB

Field Data
EIN 83-4660203
Case Number EO-2019141-000159
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CUDAS SOCCER BOOSTER CLUB
Organization’s Mailing Address 1015 10TH STREET
City SMYRNA BEACH
State FL
ZIP 32168
Accounting period End 6
Primary contact name AMY NORTON GREFSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY GREFSKI
PRESIDENT
131 EAST TURGOT AVENUE
EDGEWATER FL 32132

Officer/Director/Trustee Two

LORI FISHER
VICE-PRESIDENT
2613 35TH STREET
EDGEWATER FL 32141

Officer/Director/Trustee Three

LINDA MCMILLAN
VICE-PRESIDENT
4610 VANKLEEK AVENUE
NEW SMYRNA BEACH FL 32169

Officer/Director/Trustee Four

PHILIP BONAMO
SECRETARY
143 SAND PINE PLACE
NEW SMYRNA BEACH FL 32168

Officer/Director/Trustee Five

CHERYL BAKER
TREASURER
6696 ENGRAM ROAD
NEW SMYRNA BEACH FL 32169

Organization’s website
Organization’s email CUDASSOCCERBOOSTERCLUB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
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 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 PHILIP BONAMO
Signature Title SECRETARY
Signature Date 5/19/19

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