FORM 1023-EZ for LIQUID THERAPY DIVING INC

Field Data
EIN 81-1958550
Case Number EO-2016111-000262
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIQUID THERAPY DIVING INC
Organization’s Mailing Address 7900 LINDBERGH BLVD APT 3601
City PHILADELPHIA
State PA
ZIP 19153
Accounting period End 12
Primary contact name DONNA RALEIGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DONNA RALEIGH
PRESIDENT
7900 LINDBERGH BLVD APT 3601
PHILADELPHIA PA 19153

Officer/Director/Trustee Two

BUTCH LOGGINS
VICE PRESIDENT
266 ELON CT
NORTH WALES PA 19454

Officer/Director/Trustee Three

HARRY BRYANT
SECRETARY
721 HADDEN RD E
WILMINGTON DE 19808

Officer/Director/Trustee Four

SHARON ATHERHOLT
TREASURER
218 YORKTOWN CT
MALVERN PA 19355

Organization’s website WWW.LIQUIDTHERAPYDIVING.ORG
Organization’s email LIQUIDTHERAPYDIVING@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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 Yes
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
Signature Title
Signature Date

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