FORM 1023-EZ for REEF LACROSSE BOOSTER CLUB

Field Data
EIN 27-3846920
Case Number EO-2017030-000318
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REEF LACROSSE BOOSTER CLUB
Organization’s Mailing Address 16081 SW 86TH AVENUE
City PALMETTO BAY
State FM
ZIP 33157
Accounting period End 6
Primary contact name ENIT COSTA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATTY GASSENHEIMER
PRESIDENT
10905 SW 75TH CT
MIAMI FL 33156

Officer/Director/Trustee Two

DEE KEEHOE
VICE PRESIDENT
16511 SW 84 CT
PALMETTO BAY FL 33157

Officer/Director/Trustee Three

MARK DUREI
VICE PRESIDENT
5945 SW 134TH STREET
PINECREST FL 33156

Officer/Director/Trustee Four

ELIZABETH GRANT
TREASURER
16081 SW 86TH AVENUE
PALMETTO BAY FL 33157

Officer/Director/Trustee Five

ENIT COSTA
SECRETARY
14856 SW 180TH ST
MIAMI FL 33187

Organization’s website
Organization’s email REEFLAX@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/2010
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: 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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