FORM 1023-EZ for CHAMPLAIN VALLEY SWIM LEAGUE INCORPORATED

Field Data
EIN 82-1723664
Case Number EO-2017157-000172
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHAMPLAIN VALLEY SWIM LEAGUE INCORPORATED
Organization’s Mailing Address 17 CRANWELL AVE
City SOUTH BURLINGTON
State VT
ZIP 05403-7356
Accounting period End 12
Primary contact name LOGAN HALL-POTVIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETER PICARD
INTERIM PRESIDENT
158 BROWNS RIVER ROAD
ESSEX JUNCTION VT 05452-2220

Officer/Director/Trustee Two

JESSICA WORKMAN
SECRETARY
8 MANSFIELD AVE
ESSEX JUNCTION VT 05452-3764

Officer/Director/Trustee Three

LOGAN HALL-POTVIN
TREASURER
17 CRANWELL AVE
SO. BURLINGTON VT 05403-7356

Organization’s website CVSLVT.COM
Organization’s email CHAMPLAINVALLEYSWIMLEAGUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2017
Organization Incorporation State VT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 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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