FORM 1023-EZ for EUSTIS JR PANTHERS INC

Field Data
EIN 87-0948421
Case Number EO-2021266-000405
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EUSTIS JR PANTHERS INC
Organization’s Mailing Address 15832 PERU RD
City UMATILLA
State FL
ZIP 32784
Accounting period End 12
Primary contact name JON RADNOTHY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JON RADNOTHY
DIRECTOR
15832 PERU RD
UMATILLA FL 32784

Officer/Director/Trustee Two

TAMMY LEWIS
DIRECTOR
15832 PERU RD
UMATILLA FL 32784

Officer/Director/Trustee Three

JOHNNY SAUNDERS
DIRECTOR
15832 PERU RD
UMATILLA FL 32784

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2021
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: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JON RADNOTHY
Signature Title DIRECTOR
Signature Date 9/21/2021

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