FORM 1023-EZ for COASTAL ADAPTIVE SPORTS
| Field | Data |
|---|---|
| EIN | 81-1677947 |
| Case Number | EO-2016067-000302 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | COASTAL ADAPTIVE SPORTS |
| Organization’s Mailing Address | 618 RIDGE DRIVE |
| City | MYRTLE BEACH |
| State | SC |
| ZIP | 29588 |
| Accounting period End | 12 |
| Primary contact name | LUTHER SHARP |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
MELINDA CHAPPELL
PRESIDENT
5816 BRIDLEWOOD RD
MYRTLE BEACH SC 29582
Officer/Director/Trustee Two
BROCK JOHNSON
VICE PRESIDENT
309 KINGS DRIVE
MYRTLE BEACH SC 29588
Officer/Director/Trustee Three
LUTHER SHARP
ACTIVITIES DIRECTOR
314 34TH AVENUE NORTH
NORTH MYRTLE BEACH SC 29582
Officer/Director/Trustee Four
KATHRYN HARVILLA
TREASURER/DIRECTOR OF FUND RAISING
618 RIDGE DRIVE
MYRTLE BEACH SC 29588
Officer/Director/Trustee Five
JIM HOLLAND
SECRETARY
133 REXFORD CT UNIT 2211
MYRTLE BEACH SC 29579
| Organization’s website | COASTALCAROLINAADAPTIVESPORTS.ORG |
|---|---|
| Organization’s email | LUKE.SHARP@ADAPTIVESURFPROJECT.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/1/2016 |
| Organization Incorporation State | SC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G50 - Nerve, Muscle and Bone Diseases |
| 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 | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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