FORM 1023-EZ for DIVERSIFY DISC GOLF

Field Data
EIN 85-4127246
Case Number EO-2021085-000250
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DIVERSIFY DISC GOLF
Organization’s Mailing Address 23115 TAWAS AVENUE
City HAZEL PARK
State MI
ZIP 48030
Accounting period End 12
Primary contact name SALLY CHATMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SALLY-MARIE CHATMAN
PRESIDENT
23115 TAWAS AVENUE
HAZEL PARK MI 48030

Officer/Director/Trustee Two

REBECCA COX
TREASURER
1362 PASSENGER ST APT 3008
CHATTANOOGA TN 37408

Officer/Director/Trustee Three

HEIDI MATHESON
SECRETARY
30432 SPYBROOK STREET
ROSEVILLE MI 48066

Organization’s website
Organization’s email diversifydiscgolf@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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 SALLY-MARIE CHATMAN
Signature Title PRESIDENT
Signature Date 2/2/2021

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