FORM 1023-EZ for PROVIDENCE RECREATION GROUP
| Field | Data |
|---|---|
| EIN | 82-4035997 |
| Case Number | EO-2019036-001153 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PROVIDENCE RECREATION GROUP |
| Organization’s Mailing Address | 2344 BONNER AVENUE |
| City | SANTEE |
| State | SC |
| ZIP | 29142 |
| Accounting period End | 12 |
| Primary contact name | RUSSELL A BLANCHARD IV |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
WALTER DANTZLER
PRESIDENT
208 SHASTA LANE
SANTEE SC 29142
Officer/Director/Trustee Two
DAVID SHULER
VICE PRESIDENT
171 RASUM DRIVE
HOLLY HILL SC 29059
Officer/Director/Trustee Three
FRANCES DANTZLER
TREASURER
2988 BASS DRIVE
SANTEE SC 29142
Officer/Director/Trustee Four
DEAN HUTTO
SECRETARY
444 SHULER BELT ROAD
HOLLY HILL SC 29059
Officer/Director/Trustee Five
MIKE KULLENBERG
OFFICER
2755 VANCE ROAD
HOLLY HILL SC 29059
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/16/17 |
| Organization Incorporation State | SC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N30 - Physical Fitness and Community Recreational Facilities |
| 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 | 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 | WALTER DANTZLER |
| Signature Title | PRESIDENT |
| Signature Date | 1/23/19 |
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