FORM 1023-EZ for BEASTMODE ACADEMY INC

Field Data
EIN 82-1966114
Case Number EO-2021078-001095
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BEASTMODE ACADEMY INC
Organization’s Mailing Address 15502 STONEYBROOK W PKWY 104-507
City WINTER GARDEN
State FL
ZIP 34787
Accounting period End 12
Primary contact name MICHELLE FISCHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KURT FISCHER
DIR
1619 SPRING LOOP WAY
WINTER GARDEN FL 34787

Officer/Director/Trustee Two

MICHELLE FISCHER
DIR
1619 SPRING LOOP WAY
WINTER GARDEN FL 34787

Officer/Director/Trustee Three

VIRGIL YOUNG
DIR
650 CORTEZ CIRCLE
ALTAMONTE SPRINGS FL 32714

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KURT FISCHER
Signature Title DIR
Signature Date 1/22/2021
EIN 82-1966114
Case Number EO-2017177-000359
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BEAST MODE ACADEMY INC
Organization’s Mailing Address 3923 FORRESTAL AVENUE
City ORLANDO
State FL
ZIP 32806
Accounting period End 12
Primary contact name KURT FISCHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KURT FISCHER
DIR
1619 SPRING LOOP WAY
WINTER GARDEN FL 34787

Officer/Director/Trustee Two

MICHELLE FISCHER
DIR
1619 SPRING LOOP WAY
WINTER GARDEN FL 34787

Officer/Director/Trustee Three

VIRGIL YOUNG
DIR
650 CORTEZ CIRCLE
ALTAMONTE SPRINGS FL 32714

Organization’s website
Organization’s email BEASTMODEACADEMYINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 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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