FORM 1023-EZ for PERRY BOYS GIRLS SWIMMING DIVING BOOSTER CLUB

Field Data
EIN 30-0598424
Case Number EO-2015281-000279
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PERRY BOYS GIRLS SWIMMING DIVING BOOSTER CLUB
Organization’s Mailing Address 2470 DELAWARE AVE SW
City CANTON
State OH
ZIP 44706
Accounting period End 12
Primary contact name PATRICIA SCOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CONNIE SWAN
PRESIDENT
4876 CHANNELSIDE DR SE
CANTON OH 44707-1106

Officer/Director/Trustee Two

BETSY BOWE
VICE PRESIDENT
3152 ROWMONT AVE SW
MASSILLON OH 44646

Officer/Director/Trustee Three

PATRICIA SCOTT
TREASURER
2470 DELAWARE AVE SW
CANTON OH 44706

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2013
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
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
Signature Title
Signature Date

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