FORM 1023-EZ for DELSEA TENNIS CLUB

Field Data
EIN 36-4862504
Case Number EO-2019101-000176
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DELSEA TENNIS CLUB
Organization’s Mailing Address 236 HARRIS DR
City SEWELL
State NJ
ZIP 8080
Accounting period End 12
Primary contact name SARAH LAROCCO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRY KLODNICKI
PRESIDENT
58 WOODLAND AVE
MULLICA HILL NJ 8062

Officer/Director/Trustee Two

LISA DUNN
VICE PRESIDENT
139 PITMAN DOWNER RD
SEWELL NJ 8080

Officer/Director/Trustee Three

SARA TEMEAN
SECRETARY
5 CORONA CT
SEWELL NJ 8080

Officer/Director/Trustee Four

SARAH LAROCCO
TREASURER
236 HARRIS DR
SEWELL NJ 8080

Organization’s website DELSEATENNISCLUB.COM
Organization’s email DELSEATENNIS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/19
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 SARAH LAROCCO
Signature Title TREASURER
Signature Date 4/9/19

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