FORM 1023-EZ for PATRIOT DIAMOND CLUB

Field Data
EIN 82-4395938
Case Number EO-2018046-000284
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PATRIOT DIAMOND CLUB
Organization’s Mailing Address 210 PAWLEYS DRIVE
City SIMPSONVILLE
State SC
ZIP 29681
Accounting period End 12
Primary contact name VIRGINIA M PHILLIPS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TODD LUMSDEN
DIRECTOR
210 PAWLEYS DRIVE
SIMPSONVILLE SC 29681

Officer/Director/Trustee Two

JASON FREEMAN
DIRECTOR
8 PELHAM ROAD
GREENVILLE SC 29615

Officer/Director/Trustee Three

MATTHEW MALLOY
DIRECTOR
8 DRAYTON HALL DRIVE
SIMPSONVILLE SC 29681

Officer/Director/Trustee Four

DAVID TOFIELD
DIRECTOR
100 POND BLUFF LANE
GREENVILLE SC 29607

Officer/Director/Trustee Five

JOE ELLIS
DIRECTOR
1306 SOUTH CHURCH STREET
GREENVILLE SC 29605

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/18
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 TODD LUMSDEN
Signature Title DIRECTOR
Signature Date 2/13/18

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