| Field | Data |
|---|---|
| EIN | 81-1735147 |
| Case Number | EO-2016229-000394 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | SWAN CITY ROLLER DERBY INC |
| Organization’s Mailing Address | 129 LEITHA WAY |
| City | LAKELAND |
| State | FL |
| ZIP | 33809 |
| Accounting period End | 1 |
| Primary contact name | SHELBY HANSELMAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
SHELBY HANSELMAN
PRESIDENT
129 LEITHA WAY
LAKELAND FL 33809
SARA GARCIA
VICE PRESIDENT
3730 ROLLINGSFORD CIR
LAKELAND FL 33810
SHELLEY ROSSETTER
SECRETARY
2207 NEW JERSEY RD
LAKELAND FL 33803
CYNTHIA FULCO
TREASURER
104 SHANNON DRIVE
LAKELAND FL 33809
THERESA TAPIA
HUMAN RESOURCES
1814 SANDFORD RD
LAKELAND FL 33801
| Organization’s website | N/A |
|---|---|
| Organization’s email | SWANCITYROLLERS@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/7/2016 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N70 - Amateur Sports Competitions |
| 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 | |
| Signature Title | |
| Signature Date |
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