FORM 1023-EZ for LADY DOLPHINS BOOSTERS

Field Data
EIN 39-2052396
Case Number EO-2015316-000410
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LADY DOLPHINS BOOSTERS
Organization’s Mailing Address PO BOX 533
City GULF BREEZE
State FL
ZIP 32562-0533
Accounting period End 12
Primary contact name DONNA PRINTISS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DONNA PRINTISS
PRESIDENT
3617 TIGER POINT BLVD
GULF BREEZE FL 32563-3442

Officer/Director/Trustee Two

SHELLY BRANTON
VICE PRESIDENT
PO BOX 533
GULF BREEZE FL 32562-0533

Officer/Director/Trustee Three

JACKIE BELL
VICE PRESIDENT
PO BOX 533
GULF BREEZE FL 32562-0533

Officer/Director/Trustee Four

RACHELL WATTS
SECRETARY
PO BOX 533
GULF BREEZE FL 32562-0533

Officer/Director/Trustee Five

NICOLE CAMPENELLA
TREASURER
PO BOX 533
GULF BREEZE FL 32562-0533

Organization’s website
Organization’s email PAULPRINTISS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/2007
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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