FORM 1023-EZ for COCOA YOUTH ATHLETICS CORPORATION

Field Data
EIN 83-1853127
Case Number EO-2018274-000124
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COCOA YOUTH ATHLETICS CORPORATION
Organization’s Mailing Address PO BOX 236752
City COCOA
State FL
ZIP 32926-6752
Accounting period End 12
Primary contact name ALICIA PHILLIPS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMUEL CLAYBORN
PRESIDENT
365 COUNTRY LANE DRIVE
COCOA FL 32926-5384

Officer/Director/Trustee Two

WINFRED STRICKLAND
VICE PRESIDENT
3879 KENNEDY CIRCLE
COCOA FL 32926-4089

Officer/Director/Trustee Three

SHERRIA SMITH
SECRETARY
1308 MOSS LANE
COCOA FL 32922-6142

Officer/Director/Trustee Four

FLOYD JOINER
COO
3826 S DENTON CIRCLE
COCOA FL 32926-4113

Organization’s website
Organization’s email ADPHIL66@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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 SAMUEL CLAYBORN
Signature Title PRESIDENT
Signature Date 9/27/18

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