FORM 1023-EZ for CLUB SWIM TEAM OF NC STATE UNIVERSITY

Field Data
EIN 82-2572993
Case Number EO-2021187-000169
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLUB SWIM TEAM OF NC STATE UNIVERSITY
Organization’s Mailing Address 2610 CATES AVE TALLEY 4210
City RALEIGH
State NC
ZIP 27695-7295
Accounting period End 12
Primary contact name BENJAMIN DRUHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BENJAMIN DRUHAN
PRESIDENT
10105 HANOVER WOODS PLACE
CHARLOTTE NC 28210-7720

Officer/Director/Trustee Two

AVERY SCHRAGE
VICE PRESIDENT
2517 MEDWAY DRIVE
RALEIGH NC 27608-1614

Officer/Director/Trustee Three

RILEY JENNINGS
TREASURER
590 MARINA DRIVE WESTPORT II F-23
PINE KNOLL SHORES NC 28512-7117

Officer/Director/Trustee Four

ALEXANDER CONSTANTINE
MANAGER
6246 HERITAGE PLACE
CHARLOTTE NC 28210-7011

Organization’s website
Organization’s email SWIMCLUB.NCSU@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/2017
Organization Incorporation State NC
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 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 No
Benefit of College Yes
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALEXANDER CONSTANTINE
Signature Title MANAGER
Signature Date 7/1/2021
EIN 82-2572993
Case Number EO-2018107-000461
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SWIM CLUB AT NC STATE
Organization’s Mailing Address 2611 CATES AVENUE BOX 8111
City RALEIGH
State NC
ZIP 27695
Accounting period End 12
Primary contact name BEN HARDIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BENJAMIN HARDIN
PRESIDENT
551 BRENT RD
RALEIGH NC 27606

Organization’s website
Organization’s email SWIMCLUB.NCSU@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/17
Organization Incorporation State NC
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 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 BENJAMIN HARDIN
Signature Title PRESIDENT
Signature Date 3/26/18

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