FORM 1023-EZ for SOUTHWEST FLORIDA SHUFFLEBOARD INC

Field Data
EIN 47-4001322
Case Number EO-2015141-000297
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHWEST FLORIDA SHUFFLEBOARD INC
Organization’s Mailing Address 9006 31ST AVE E
City PALMETTO
State FL
ZIP 34221
Accounting period End 12
Primary contact name DAVID WELSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID WELSH
PRESIDENT, DIRECTOR
9006 31ST AVE E
PALMETTO FL 34221

Officer/Director/Trustee Two

DIAN DARRAH
SECRETARY, DIRECTOR
10315 CORTZ RD W L3-5
BRADENTON FL 34210

Officer/Director/Trustee Three

CHARLES STANNARD
TREASURER, DIRECTOR
4920 3RD B ST E
BRADENTON FL 34203

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: No
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 Yes
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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