FORM 1023-EZ for BROOKSHIRE WATER SAFETY AND EDUCATION INC

Field Data
EIN 84-2153850
Case Number EO-2019176-000144
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROOKSHIRE WATER SAFETY AND EDUCATION INC
Organization’s Mailing Address 12018 BROOKSHIRE PARKWAY
City CARMEL
State IN
ZIP 46033-3312
Accounting period End 12
Primary contact name JAMES R A DAWSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES DAWSON
DIRECTOR AND VICE PRESIDENT
12012 BROOKSHIRE PARKWAY
CARMEL IN 46033-3312

Officer/Director/Trustee Two

JASON RANDLETT
DIRECTOR AND PRESIDENT
12018
CARMEL IN 46033-3312

Officer/Director/Trustee Three

BRETT YOUNG
DIRECTOR SECRETARY AND TREASURER
11920 BROOKSHIRE PARKWAY
CARMEL IN 46033-3312

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/19
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N67 - Swimming, Water Recreation
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 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 JAMES DAWSON
Signature Title DIRECTOR AND VICE PRESIDENT
Signature Date 6/20/19

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