FORM 1023-EZ for HERONS GLEN PICKLEBALL ASSOCIATION

Field Data
EIN 30-1069745
Case Number EO-2018275-000008
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HERONS GLEN PICKLEBALL ASSOCIATION
Organization’s Mailing Address 20727 TISBURY LN
City NORTH DT MYERS
State FL
ZIP 33917
Accounting period End 12
Primary contact name CAROLE SWEENEY TREASURER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HOWARD NUTT
PRESIDENT
3469 VIA MONTANA WAY
N FT MYERS FL 33917

Officer/Director/Trustee Two

DON ADAMS
VICE PRESIDENT
2420 PALO DURO BLVD
N FT MYERS FL 33917

Officer/Director/Trustee Three

MARY ANN SIMPSON
SECRETARY
1940 CORONA DEL SIRE DR
N FT MYERS FL 33917

Officer/Director/Trustee Four

CAROLE SWEENEY
TREASURER
20727 TISBURY LN
N FT MYERS FL 33917

Officer/Director/Trustee Five

TONY KATTENHORN
MEMBER AT LARGE
20900 CALLE CRYSTAL LN
N FT MERS FL 33917

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 No
Correctness Declaration Yes
Signature Name CAROLE SWEENEY
Signature Title TREASURER
Signature Date 9/28/18

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