FORM 1023-EZ for CSRA DIVING CLUB INC

Field Data
EIN 81-1504473
Case Number EO-2018107-000603
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CSRA DIVING CLUB INC
Organization’s Mailing Address 3157 DAMASCUS ROAD
City AUGUSTA
State GA
ZIP 30909-4035
Accounting period End 12
Primary contact name PATRICK LOEFFLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSE MENDEZ
CEO
419 MADISON ST
GROVETOWN GA 30813-3726

Officer/Director/Trustee Two

PATRICK LOEFFLER
SECRETARY
2022 MCDOWELL ST
AUGUSTA GA 30904-4172

Officer/Director/Trustee Three

JENNIFER JONES
CFO
780 WATERMARK DR
EVANS GA 30809-7486

Organization’s website CSRA-DIVING.COM
Organization’s email ADMIN@CSRA-DIVING.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/9/16
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N67 - Swimming, Water Recreation
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 Yes
Donation of funds Yes
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 PATRICK LOEFFLER
Signature Title SECRETARY
Signature Date 3/27/18

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