FORM 1023-EZ for DAYTONA BEACH SPORTS CLUB INC

Field Data
EIN 47-5556561
Case Number EO-2015327-000415
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DAYTONA BEACH SPORTS CLUB INC
Organization’s Mailing Address 5633 DEVON ST
City PORT ORANGE
State FL
ZIP 32127
Accounting period End 12
Primary contact name LAUREN VALLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LAUREN VALLE
PRESIDENT, DIRECTOR
5633 DEVON ST
PORT ORANGE FL 32127

Officer/Director/Trustee Two

RANIA POLITIS
TREASURER, DIRECTOR
2632 S PENINSULA DR
DAYTONA BEACH SHORES FL 32118

Officer/Director/Trustee Three

QUETARA JOHNSON
SECRETARY, DIRECTOR
1002 CARLYLE LN
DELAND FL 32724

Officer/Director/Trustee Four

JOSEPH BIGGS
DIRECTOR
1789 ARASH CIR
PORT ORANGE FL 32128

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/2015
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: Yes
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 Yes
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
Signature Title
Signature Date

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