FORM 1023-EZ for OCEAN DRIVE SHAG CLUB FOUNDATION

Field Data
EIN 81-3290864
Case Number EO-2016354-000344
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OCEAN DRIVE SHAG CLUB FOUNDATION
Organization’s Mailing Address 1611 HILLSIDE DRIVE SOUTH
City NORTH MYRTLE BEACH
State SC
ZIP 29582
Accounting period End 12
Primary contact name LANE JEFFERIES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONICA POWELL
CHAIRMAN
1611 HILLSIDE DRIVE SOUTH
NORTH MYRTLE BEACH SC 29582

Officer/Director/Trustee Two

WENDY SCHULTZ
VICE CHAIRMAN
8803 HIGHWAY 90
LONGS SC 29568

Officer/Director/Trustee Three

KAREN YOUNG
SECRETARY
228 WATERFALL CIRCLE
LITTLE RIVER SC 29566

Officer/Director/Trustee Four

BOB SANDERS
TREASURER
4 SEA GULL COURT SOUTHWEST
CAROLINA SHORES NC 29467

Officer/Director/Trustee Five

S LARRY JONES
BOARD MEMBER
1602 CROSSWINDS AVENUE
NORTH MYRTLE BEACH SC 29582

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/3/2016
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A01 - 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 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
Signature Title
Signature Date

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