FORM 1023-EZ for VENICE TAKEDOWN CLUB INCORPORATED

Field Data
EIN 81-4745228
Case Number EO-2017219-000500
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VENICE TAKEDOWN CLUB INCORPORATED
Organization’s Mailing Address 9100 DEER COURT
City VENICE
State FL
ZIP 34293-7630
Accounting period End 9
Primary contact name DAVID VISCHULIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIN MOLINE
PRESIDENT / DIRECTOR
9100 DEER COURT
VENICE FL 34293-7630

Officer/Director/Trustee Two

LORI STONE
VICE PRESIDENT / DIRECTOR
706 SHADOW BAY WAY
OSPREY FL 34229-8871

Officer/Director/Trustee Three

PAIGE BALSINGER
SECRETARY / DIRECTOR
5864 VIOLA ROAD
VENICE FL 34293-6707

Officer/Director/Trustee Four

DAVID VISCHULIS
TREASURER / DIRECTOR
11811 GRANITE WOODS LOOP
VENICE FL 34292-4113

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/2016
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: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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