FORM 1023-EZ for DUTCH FORK DAZZLERS

Field Data
EIN 82-3058892
Case Number EO-2018276-000084
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DUTCH FORK DAZZLERS
Organization’s Mailing Address 1528 OLD TAMAH ROAD
City IRMO
State SC
ZIP 29063
Accounting period End 6
Primary contact name LYNDSEY LIVINGSTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYNDSEY LIVINGSTON
PRESIDENT
215 LAURENT WAY
IRMO SC 29063

Officer/Director/Trustee Two

MARY CIESIELSKI
CO-PRESIDENT
6 BLISTON COURT
IRMO SC 29063

Officer/Director/Trustee Three

KIMBERLY OLEARY-WOODWARD
VICE PRESIDENT
2105 HARVESTWOOD LANE
CHAPIN SC 29036

Officer/Director/Trustee Four

ELIZABETH ANNE BAUGHMAN
TREASURER
117 LAND STONE CIRCLE
IRMO SC 29063

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/18
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 ELIZABETH ANNE BAUGHMAN
Signature Title TREASURER
Signature Date 10/1/18

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