FORM 1023-EZ for DARKE COUNTY SWIM CLUB TEAM STINGRAY INC

Field Data
EIN 31-1339084
Case Number EO-2016148-000236
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DARKE COUNTY SWIM CLUB TEAM STINGRAY INC
Organization’s Mailing Address 4 N MAIN ST
City ARCANUM
State OH
ZIP 45304
Accounting period End 12
Primary contact name CHARITY WRIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CANDACE FURLONG
PRESIDENT
1386 VERONA PITSBURG RD
ARCANUM OH 45304

Officer/Director/Trustee Two

CHARITY WRIGHT
PRESIDENT
4 NORTH MAIN STREET
ARCANUM OH 45304

Officer/Director/Trustee Three

BECKY STUMP
SECRETARY
8764 GRUBBS REX RD
ARCANUM OH 45304

Officer/Director/Trustee Four

KAREN BARRY
TREASURER
4570 HOLLANSBURG SAMPSON RD
ARCANUM OH 45304

Officer/Director/Trustee Five

KIM MOORE
PUBLIC RELATIONS
18 MEADOWLAWN DR
ARCANUM OH 45304

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/23/1992
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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