FORM 1023-EZ for JACKSONVILLE CLAY TARGET SPORTS FOUNDATION INC

Field Data
EIN 81-4683715
Case Number EO-2016356-000129
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JACKSONVILLE CLAY TARGET SPORTS FOUNDATION INC
Organization’s Mailing Address 12125 NEW BERLIN ROAD
City JACKSONVILLE
State FL
ZIP 32226
Accounting period End 12
Primary contact name CHARLEE L MISKA ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAWRENCE ROLFE
PRESIDENT
12125 NEW BERLIN ROAD
JACKSONVILLE FL 32226

Officer/Director/Trustee Two

LANCE DAY
VICE PRESIDENT
12125 NEW BERLIN ROAD
JACKSONVILLE FL 32226

Officer/Director/Trustee Three

JOE LUKE
TREASURER
12125 NEW BERLIN ROAD
JACKSONVILLE FL 32226

Officer/Director/Trustee Four

CHRIS KAUFFMANN
DIRECTOR
12125 NEW BERLIN ROAD
JACKSONVILLE FL 32226

Officer/Director/Trustee Five

Z MINCEK
DIRECTOR
12125 NEW BERLIN ROAD
JACKSONVILLE FL 32226

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/11/2016
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: 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 Yes
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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