FORM 1023-EZ for MADRAS SWIM TEAM

Field Data
EIN 81-0989784
Case Number EO-2016032-000181
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MADRAS SWIM TEAM
Organization’s Mailing Address 1195 SE KEMPER WAY
City MADRAS
State OR
ZIP 97741
Accounting period End 12
Primary contact name TIM NELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIMOTHY NELSON
VICE PRESIDENT
1010 NW UNION STREET
BEND OR 97703

Officer/Director/Trustee Two

TAMIE FLU
PRESIDENT
771 NW BIRCH LANE
MADRAS OR 97741

Officer/Director/Trustee Three

CARRIE GRAEME
SECRETARY
169 SE CODY LANE
MADRAS OR 97741

Officer/Director/Trustee Four

KAREN AFFELDT
TREASURER
832 SW SUNNYSIDE DRIVE
MADRAS OR 97741

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/2016
Organization Incorporation State OR
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: 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 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
Signature Title
Signature Date

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