FORM 1023-EZ for LADY CARDINAL BASKETBALL INC

Field Data
EIN 47-3788529
Case Number EO-2019154-000400
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LADY CARDINAL BASKETBALL INC
Organization’s Mailing Address 2209 KEATON CHASE DRIVE
City FLEMING ISLAND
State FL
ZIP 32003-8605
Accounting period End 12
Primary contact name CARL HEILMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARL HEILMAN
PRESIDENT
2209 KEATON CHASE DRIVE
FLEMING ISLAND FL 32003-8605

Officer/Director/Trustee Two

HOLLY KIMBALL
BOARD MEMBER
12537 SUNOWA SPRINGS TRAIL
BRYCEVILLE FL 32009-1560

Officer/Director/Trustee Three

EMILY KNOX
BOARD MEMBER
8571 LAKE MARIETTA DRIVE S
JACKSONVILLE FL 32220-2003

Officer/Director/Trustee Four

KENYIA JOHNSON
BOARD MEMBER
2007 REDBERRY COURT
FLEMING ISLAND FL 32003-5320

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/15
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CARL HEILMAN
Signature Title PRESIDENT
Signature Date 5/31/19

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