FORM 1023-EZ for PORT CHARLOTTE PIRATES SWIM CLUB INC

Field Data
EIN 20-4917618
Case Number EO-2018026-000172
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PORT CHARLOTTE PIRATES SWIM CLUB INC
Organization’s Mailing Address 18723 FORT SMITH CIR
City PORT CHARLOTTE
State FL
ZIP 33948
Accounting period End 12
Primary contact name ADRIAN SHOTWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADRIAN SHOTWELL
PRESIDENT
18723 FORT SMITH CIR
PORT CHARLOTTTE FL 33948

Officer/Director/Trustee Two

JOHN WHALEY
CEO
2582 HOBBLEBRUSH DR
NORTH PORT FL 34289

Officer/Director/Trustee Three

JESSE ROMERO
VICE PRESIDENT
1676 NUREMBERG BLVD
PUNTA GORDA FL 33983

Organization’s website PORTCHARLOTTEPIRATES.ORG
Organization’s email PCPIRATES.SWIM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/19/06
Organization Incorporation State FL
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: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
Correctness Declaration Yes
Signature Name ADRIAN SHOTWELL
Signature Title PRESIDENT
Signature Date 1/23/18

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