FORM 1023-EZ for MESA VERDE AQUATICS CLUB

Field Data
EIN 81-0850892
Case Number EO-2016084-000380
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MESA VERDE AQUATICS CLUB
Organization’s Mailing Address 27590 ROAD H6
City CORTEZ
State CO
ZIP 81321
Accounting period End 12
Primary contact name DEANNA BAGGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEANNA BAGGE
PRESIDENT
27590 ROAD H6
CORTEZ CO 81321

Officer/Director/Trustee Two

PAULA PODGORNOFF
SECRETARY
27590 ROAD H6
CORTEZ CO 81321

Officer/Director/Trustee Three

AMBER BARNER
TREASURER
27590 ROAD H6
CORTEZ CO 81321

Officer/Director/Trustee Four

STEVEN KRUMPAKER
MEMBER AT LARGE
27590 ROAD H6
CORTEZ CO 81321

Organization’s website
Organization’s email SWIM.MVAC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/2016
Organization Incorporation State CO
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: 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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