FORM 1023-EZ for WEST VOLUSIA RENEGADE

Field Data
EIN 87-1865465
Case Number EO-2021210-000261
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WEST VOLUSIA RENEGADE
Organization’s Mailing Address 3290 NOAH ST
City DELTONA
State FL
ZIP 32738
Accounting period End 12
Primary contact name DIANE SHAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATHAN SHAW
MANAGER
3290 NOAH ST
DELTONA FL 32738

Officer/Director/Trustee Two

DIANE SHAW
MANAGER
3290 NOAH ST
DELTONA FL 32738

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 DIANE SHAW
Signature Title MANAGER
Signature Date 7/27/2021

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