| Field | Data |
|---|---|
| EIN | 59-3611908 |
| Case Number | EO-2021252-000326 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | COUNTRYSIDE DIAMOND CLUB INC |
| Organization’s Mailing Address | 3000 STATE ROAD 580 |
| City | CLEARWATER |
| State | FL |
| ZIP | 33761 |
| Accounting period End | 6 |
| Primary contact name | KELLY MORGAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
CARY NEVINS
PRESIDENT
2891 MEADOW OAK DR E
CLEARWATER FL 33761
HOLLY LARSEN
VICE PRESIDENT
1406 PINEAPPLE LANE
CLEARWATER FL 33759
BRIAN MADASCY
SECRETARY
3036 HOMESTEAD CT
CLEARWATER FL 33759
JENNIFER ALLEN
TREASURER
3096 BLUE HERON ST
SAFETY HARBOR FL 34695
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/21/1998 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B80 - Student Services, Organizations of Students |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: No Public Safety: No Amateur Sports: No 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 | CARY NEVINS |
| Signature Title | PRESIDENT |
| Signature Date | 9/7/2021 |
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