FORM 1023-EZ for LAKE ERIE DIVING ASSOCIATION OF USADIVING INC

Field Data
EIN 81-4876058
Case Number EO-2018140-000136
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE ERIE DIVING ASSOCIATION OF USADIVING INC
Organization’s Mailing Address 4077 MINOR ROAD
City COPLEY
State OH
ZIP 44321
Accounting period End 12
Primary contact name KRISTIN DODSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEWIS FELLINGER
PRESIDENT
40 FIRCREST LN
CHAGRIN FALLS OH 44022-6846

Officer/Director/Trustee Two

KRISTIN DODSON
SECRETARY/TREASURER
4077 MINOR RD
COPLEY OH 44321

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/6/17
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 KRISTIN DODSON
Signature Title SECRETARY/TREASURER
Signature Date 5/15/18

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