FORM 1023-EZ for VOLUSIA SURF LIFESAVING ASSOCIATIONINC

Field Data
EIN 59-3015480
Case Number EO-2019274-000177
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VOLUSIA SURF LIFESAVING ASSOCIATIONINC
Organization’s Mailing Address 2464 LYDIA WAY
City NEW SMYRNA BEACH
State FL
ZIP 32168
Accounting period End 12
Primary contact name BRYON WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEXANDER MILLER
PRESIDENT
515 S ATLANTIC AVE
DAYTONA BEACH FL 32118

Officer/Director/Trustee Two

ALAN HOLT
VICE PRESIDENT
515 S ATLANTIC AVE
DAYTONA BEACH FL 32118

Officer/Director/Trustee Three

BRYON WHITE
TREASURER
515 S ATLANTIC AVE
DAYTONA BEACH FL 32118

Officer/Director/Trustee Four

CHRISTINE ATKINSON
SECRETARY
515 S ATLANTIC AVE
DAYTONA BEACH FL 32118

Officer/Director/Trustee Five

THOMAS MCGIBENY
OFFICER
515 S ATLANTIC AVE
DAYTONA BEACH FL 32118

Organization’s website
Organization’s email VSLALIFEGUARDS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/90
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BRYON WHITE
Signature Title TREASURER
Signature Date 9/27/19

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