FORM 1023-EZ for CLERMONT TRIATHLON CLUB INC

Field Data
EIN 83-1503357
Case Number EO-2018222-000365
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLERMONT TRIATHLON CLUB INC
Organization’s Mailing Address 392 W OSCEOLA ST
City CLERMONT
State FL
ZIP 34711
Accounting period End 12
Primary contact name DANIEL WHITEHOUSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSHUA CASTLEMAN
PRESIDENT
392 W OSCEOLA ST
CLERMONT FL 34711

Officer/Director/Trustee Two

THOMAS MONTGOMERY
VICE PRESIDENT
405 W SUMTER ST
MINNEOLA FL 34715

Officer/Director/Trustee Three

MARIANNE HOLT
TREASURER
137 NAUTICA MILE DR
CLERMONT FL 34711

Officer/Director/Trustee Four

DANIEL WHITEHOUSE
SECRETARY
10352 ALAMEDA ALMA RD
CLERMONT FL 34711

Officer/Director/Trustee Five

STEVEN GONZALES
DIRECTOR
13148 TAMARACK BLVD
CLERMONT FL 34711

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N20 - Recreational and Sporting Camps
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 DANIEL WHITEHOUSE
Signature Title SECRETARY
Signature Date 8/8/18

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