FORM 1023-EZ for BELLEVIEW HIGH SCHOOL GIRLS SOCCERBOOSTER CLUB

Field Data
EIN 45-5580120
Case Number EO-2014240-000609
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BELLEVIEW HIGH SCHOOL GIRLS SOCCERBOOSTER CLUB
Organization’s Mailing Address 10400 SE 36TH AVENUE
City BELLEVIEW
State FL
ZIP 34420
Accounting period End 3
Primary contact name LAUREN DEIORIO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LAUREN DEIORIO
PRESIDENT
2025 SE 73RD LOOP
OCALA FL 34480

Officer/Director/Trustee Two

THOMAS EPISCOPO
VICE-PRESIDENT
1901 TWINBRIDGE CIRCLE
OCALA FL 34471

Officer/Director/Trustee Three

SERENITY STANFIELD
SECRETARY
97 PECAN COURSE CIRCLE
OCALA FL 34472

Officer/Director/Trustee Four

ANN EPISCOPO
TREASURER
5407 SE 108TH STREET
BELLEVIEW FL 34420

Officer/Director/Trustee Five

ROXANNE BURTON
DIRECTOR
6431 SE 25TH AVENUE
OCALA FL 34480

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/30/2012
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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