FORM 1023-EZ for CANNONBALL YOUTH CLUB INC

Field Data
EIN 82-4907728
Case Number EO-2018107-000130
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CANNONBALL YOUTH CLUB INC
Organization’s Mailing Address 20550 SW 125TH COURT
City MIAMI
State FL
ZIP 33177-5621
Accounting period End 12
Primary contact name EUNICE GIBSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARRIEL CANNON
PRESIDENT
20550 SW 125 COURT
MIAMI FL 33177-5621

Officer/Director/Trustee Two

SHAKIMA RANDALL
TREASURER
20550 SW 125 COURT
MIAMI FL 33177-5621

Officer/Director/Trustee Three

WILLIE CANNON
VICE PRESIDENT
20550 SW 125 COURT
MIAMI FL 33177-5621

Officer/Director/Trustee Four

MICHELLE SMITH
SECRETARY
20550 SW 125 COURT
MIAMI FL 33177-5621

Officer/Director/Trustee Five

PATRICK FIORE
DIRECTOR
20550 SW 125 COURT
MIAMI FL 33177-5621

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 DARRIEL CANNON
Signature Title PRESIDENT
Signature Date 3/23/18

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