FORM 1023-EZ for CLUB TRIDENT AQUATICS

Field Data
EIN 81-1448619
Case Number EO-2016081-000066
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLUB TRIDENT AQUATICS
Organization’s Mailing Address 9307 BOWMORE CT
City HOUSTON
State TX
ZIP 77095
Accounting period End 8
Primary contact name JASON HERBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JASON HERBERT
PRESIDENT, DIRECTOR
9307 BOWMORE CT
HOUSTON TX 77095

Officer/Director/Trustee Two

PATRICK MCLAUGHLIN
VICE PRESIDENT, DIRECTOR
19838 DUSTY CREEK DR
KATY TX 77449

Officer/Director/Trustee Three

MARIE MCLAUGHLIN
TREASURER
19838 DUSTY CREEK DR
KATY TX 77449

Officer/Director/Trustee Four

LORI SANDBERG
SECRETARY
20918 YOUNG MEADOWS WAY
KATY TX 77449

Officer/Director/Trustee Five

RICHARD SANDBERG
DIRECTOR
20918 YOUNG MEADOWS WAY
SANDBERG TX 77449

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/9/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
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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