FORM 1023-EZ for 345 CLUB INC

Field Data
EIN 47-2994347
Case Number EO-2019224-000585
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 345 CLUB INC
Organization’s Mailing Address 746 LAVERNA DR
City DAYTONA BEACH
State FL
ZIP 32117
Accounting period End 12
Primary contact name KRISTYN RAYMOND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVE HAYDEN
PRESIDENT
746 LAVERNA DR
DAYTONA BEACH FL 32117

Officer/Director/Trustee Two

KENNETH CRABTREE
OFFICER
746 LAVERNA DR
DAYTONA BEACH FL 32117

Officer/Director/Trustee Three

KRISTYN RAYMOND
DIRECTOR
2922 MANGO TREE DR
EDGEWATER FL 32141

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/15
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KRISTYN RAYMOND
Signature Title DIRECTOR
Signature Date 8/10/19
EIN 47-2994347
Case Number EO-2015188-000074
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 345 CLUB INC
Organization’s Mailing Address 746 LAVERNA DR
City DAYTONA BEACH
State FL
ZIP 32117
Accounting period End 1
Primary contact name STEVE HAYDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEVE HAYDEN
PRESIDENT
746 LAVERNA DR
DAYTONA BEACH FL 32117

Officer/Director/Trustee Two

DAVID PARSONS
SECRETARY
3655 NANTUCKET ISLAND DR 203
PORT ORANGE FL 32129

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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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