FORM 1023-EZ for CLEAN WATERWAY SOCIETY INC

Field Data
EIN 46-4257166
Case Number EO-2014293-000075
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLEAN WATERWAY SOCIETY INC
Organization’s Mailing Address 1212 RIBBON RD
City ST JOHNS
State FL
ZIP 32259
Accounting period End 12
Primary contact name JOSHUA WOODS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ERIC BERSINGER
PRESIDENT, DIRECTOR
7830 TIMBERLAND PARK BLVD
JACKSONVILLE FL 32256

Officer/Director/Trustee Two

JOSHUA WOODS
SECRETARY, DIRECTOR
1212 RIBBON RD
ST JOHNS FL 32259

Officer/Director/Trustee Three

BRYAN MCHONE
TREASURER, DIRECTOR
2239 TEGNER DR
JACKSONVILLE FL 32210

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/2013
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C32 - Water Resource, Wetlands Conservation and Management
Organization’s purpose Charitable: Yes
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
Signature Title
Signature Date

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