FORM 1023-EZ for LASSITER SWIM AND DIVE BOOSTER CLUBINC

Field Data
EIN 82-3238129
Case Number EO-2018302-000305
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LASSITER SWIM AND DIVE BOOSTER CLUBINC
Organization’s Mailing Address 2601 SHALLOWFORD ROAD
City MARIETTA
State GA
ZIP 30066
Accounting period End 6
Primary contact name TERESA JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERESA JOHNSON
PRESIDENT
3561 WOODSHIRE TRAIL
MARIETTA GA 30066

Officer/Director/Trustee Two

LORI BARTIK
TREASURER
4385 CADES POINTE
MARIETTA GA 30066

Officer/Director/Trustee Three

SANDRA KING
SECRETARY
3943 STRATON HALL WAY
MARIETTA GA 30066

Officer/Director/Trustee Four

KATI LIKES
VICE PRESIDENT
3995 JEFFERSON TOWNSHIP PARKWAY
MARIETTA GA 30066

Organization’s website WWW.LHSSWIMDIVE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/17
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 LORI BARTIK
Signature Title TREASURER
Signature Date 10/25/18

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