FORM 1023-EZ for CLEMSON UNIVERSITY CLUB TRIATHLON

Field Data
EIN 84-3788820
Case Number EO-2019345-000445
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLEMSON UNIVERSITY CLUB TRIATHLON
Organization’s Mailing Address 305 FIKE RECREATIONAL CENTER
City CLEMSON
State SC
ZIP 29634
Accounting period End 12
Primary contact name GRACE BROKAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GRACE BROKAW
TREASURER
33007 CRAB APPLE LANE
LEWES DE 19958

Officer/Director/Trustee Two

KATHERINE KROPILAK
PRESIDENT
204 OAK ST APT 13
CLEMSON SC 29631

Officer/Director/Trustee Three

BRANDON PLUCINSKI
VICE PRESIDENT
424 SMOKE RISE DR
CENTRAL SC 29630

Officer/Director/Trustee Four

VALERIE MORAN
SECRETARY
119 SMOKE RISE DR
CENTRAL SC 29630

Officer/Director/Trustee Five

ROBERT BROOKOVER
ADVISOR
254 RIGGS DR
CLEMSON SC 29631

Organization’s website
Organization’s email CLEMSONTRIATHLONCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2019
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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 GRACE BROKAW
Signature Title TREASURER
Signature Date 12/9/2019

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