FORM 1023-EZ for DIVAS ELITE SRC

Field Data
EIN 83-3373285
Case Number EO-2019038-000478
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DIVAS ELITE SRC
Organization’s Mailing Address 203 LEWISBERRY RD
City NEW CUMBERLAND
State PA
ZIP 17070
Accounting period End 12
Primary contact name JENNIFER SHADE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER SHADE
PRESIDENT
203 LEWISBERRY RD
NEW CUMBERLAND PA 17070

Officer/Director/Trustee Two

MICHELLE MUSSER
MEMBERSHIP DIRECTOR
2925 MORNINGSIDE DRIVE
CAMP HILL PA 17011

Officer/Director/Trustee Three

HELEN PARKINS
TREASURER
6076 PIGEON HILL RD
SPRING GROVE PA 17362

Officer/Director/Trustee Four

ROCHELLE SCHOFFSTALL
SECRETARY
483 WILLOW STREET
HIGHSPIRE PA 17034

Officer/Director/Trustee Five

BERYL BENSINGER
ROAD CAPTAIN
12 LION LANE
JONESTOWN PA 17038

Organization’s website
Organization’s email DIVAS.ELITE@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/17
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 Yes
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 BERYL BENSINGER
Signature Title ROAD CAPTAIN
Signature Date 1/31/19

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