FORM 1023-EZ for MADISON DOLPHINS SWIM TEAM

Field Data
EIN 81-3128887
Case Number EO-2016270-000486
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MADISON DOLPHINS SWIM TEAM
Organization’s Mailing Address 801 RAINBOW RIDGE WAY
City MADISON
State AL
ZIP 35758
Accounting period End 12
Primary contact name YULIE PALENAPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HENRIETTA KING
PRESIDENT
208 EMERSON CT
MADISON AL 35758-3636

Officer/Director/Trustee Two

BRANDI BURNS
VICE PRESIDENT
113 PRESTON WOOD DRIVE
MADISON AL 35756

Officer/Director/Trustee Three

YULIE PALENAPA
TREASURER
801 RAINBOW RIDGE WAY
MADISON AL 35758

Officer/Director/Trustee Four

KIMBERLY BYRON
SECRETARY
105 MERGE AVENUE
HARVEST AL 35749

Officer/Director/Trustee Five

DAVID DAVIES
COMPUTER SPECIALIST
111 MERRIMACK CT
MADISON AL 35758

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2016
Organization Incorporation State AL
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: 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 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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