FORM 1023-EZ for CAMPBELL SWIM AND DIVE BOOSTER CLUBINC

Field Data
EIN 47-2265047
Case Number EO-2017032-000120
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMPBELL SWIM AND DIVE BOOSTER CLUBINC
Organization’s Mailing Address 5265 WARD STREET SE
City SMYRNA
State GA
ZIP 30060
Accounting period End 12
Primary contact name SHERRY MORGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHERYL W MORGAN
VP/TREASURER
1847 BISHOPS GREEN DR
MARIETTA GA 30062-6004

Officer/Director/Trustee Two

REBECCA ELLIOTT
PRESIDENT
2708 CHESTNUT RIDGE WAY
MARIETTA GA 30062

Officer/Director/Trustee Three

TRACI ABEL
TREASURER
4757 RIDGE OAK LANE
SMYRNA GA 30126

Officer/Director/Trustee Four

KATHRYN CHRISTINE PERKINS
SECRETARY
779 DENARDS MILL SE
MARIETTA GA 30067

Officer/Director/Trustee Five

LISA BROWN
VP
2412 CROOKED TREE COURT
MARIETTA GA 30062

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/3/2014
Organization Incorporation State GA
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: 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 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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