FORM 1023-EZ for STAY LOYAL DIVAZ SOCIAL CLUB

Field Data
EIN 83-3159386
Case Number EO-2019038-000855
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STAY LOYAL DIVAZ SOCIAL CLUB
Organization’s Mailing Address 115 MORGAN RUN
City SNOW HILL
State MD
ZIP 21863
Accounting period End 12
Primary contact name MICHELLE MILLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE MILLS
PRESIDENT
115 MORGAN RUN
SNOW HILL MD 21863

Officer/Director/Trustee Two

SHAVONNE GARDNER
VICE PRESIDENT
11422 BRATTEN AVE
PRINCESS ANNE MD 21853

Officer/Director/Trustee Three

SHARON COLLINS
BUSINESS MANAGER
312 MAPLE AVE APT 31
BERLIN MD 21811

Officer/Director/Trustee Four

VALISCEYA PUGH
TREASURE
310 LOCUST ST
CRISFIELD MD 21817

Officer/Director/Trustee Five

CYRENA MUMFORD
SERGEANT AT ARMS
12303 CAMELLIA LANE
BRIDGEVILLE DE 19933

Organization’s website
Organization’s email MICHELLEMILLS14@ICLOUD.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/17
Organization Incorporation State MD
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: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 MICHELLE MILLS
Signature Title PRESIDENT
Signature Date 2/3/19

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