FORM 1023-EZ for TB CRUNCH HOCKEY FOUNDATION INC

Field Data
EIN 83-1531978
Case Number EO-2018347-000303
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TB CRUNCH HOCKEY FOUNDATION INC
Organization’s Mailing Address 13902 N DALE MABRY HWY SUITE 203
City TAMPA
State FL
ZIP 33618
Accounting period End 12
Primary contact name SCOTT BONAVITA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIM BAIN
PRESIDENT
30404 LAURELWOOD LANE
WESLEY CHAPEL FL 33543

Officer/Director/Trustee Two

SCOTT BONAVITA
VICE-PRESIDENT
13902 N DALE MABRY HWY SUITE 203
TAMPA FL 33618

Officer/Director/Trustee Three

LAURA HARDIN
SECRETARY/TREASURER
3202 S SCHILLER ST
TAMPA FL 33629

Organization’s website
Organization’s email SCOTT@BONAVITALAW.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 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 SCOTT BONAVITA
Signature Title VICE-PRESIDENT
Signature Date 12/11/18

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