FORM 1023-EZ for SCUBA 4 LIFE INC

Field Data
EIN 81-3603493
Case Number EO-2020084-000117
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SCUBA 4 LIFE INC
Organization’s Mailing Address 8092 SOUTH ORANGE BLOSSOM TRAIL
City ORLANDO
State FL
ZIP 32809
Accounting period End 12
Primary contact name DAVID LAWRENCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID LAWRENCE
EXECUTIVE DIRECTOR/PRES
9901 AVALON WOODS DR
WINTER GARDEN FL 34787

Officer/Director/Trustee Two

KIMBERLY LAWRENCE
VICE PRES/SECRITARY/DIRECTOR
9901 AVALON WOODS DR
WINTER GARDEN FL 34787

Officer/Director/Trustee Three

DAVID KREIDER
DIRECTOR/TRES
790 COUNTRY LANE
ORLANDO FL 32804

Officer/Director/Trustee Four

DR PAUL SORCHY
DIRECTOR
1705 EAST HWY 50
CLERMONT FL 34711

Officer/Director/Trustee Five

GREG CARROLL
DIRECTOR
241 BOULEVARD ST
MURPHY NC 28906

Organization’s website WWW.SCUBA4LIFE.ORG
Organization’s email DIVE@SCUBA4LIFE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 DAVID LAWRENCE
Signature Title EXECUTIVE DIRECTOR/PRES
Signature Date 3/22/2020

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