FORM 1023-EZ for PANTHERS DIAMOND CLUB INCORPORATED

Field Data
EIN 83-2041173
Case Number EO-2018282-000301
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PANTHERS DIAMOND CLUB INCORPORATED
Organization’s Mailing Address 7019 BURNWAY DRIVE
City ORLANDO
State FL
ZIP 32819
Accounting period End 7
Primary contact name PHILLIP SULLIVAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHILLIP SULLIVAN
PRESIDENT/DIRECTOR
7019 BURNWAY DRIVE
ORLANDO FL 32819

Officer/Director/Trustee Two

JUDY PAULSEN
VICE-PRESIDENT/DIRECTOR
11714 CAMDEN PARK DRIVE
WINDERMERE FL 34786

Officer/Director/Trustee Three

CHRIS MILLS
SECRETARY/DIRECTOR
9522 WICKHAM WAY
ORLANDO FL 32836

Officer/Director/Trustee Four

DENISE HARTMAN
TREASURER/DIRECTOR
8833 OAK LANDINGS COURT
ORLANDO FL 32836

Organization’s website
Organization’s email PANTHERSDIAMONDCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PHILLIP SULLIVAN
Signature Title PRESIDENT/DIRECTOR
Signature Date 10/5/18

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