FORM 1023-EZ for SOUTHERN OREGON MASTERS AQUATICS INC

Field Data
EIN 82-4001519
Case Number EO-2018234-000231
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHERN OREGON MASTERS AQUATICS INC
Organization’s Mailing Address 1290 GREEN MEADOWS WAY
City ASHLAND
State OR
ZIP 97520-3680
Accounting period End 12
Primary contact name MATTHEW MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATT MILLER
PRESIDENT, DIRECTOR
1290 GREEN MEADOWS WAY
ASHLAND OR 97520-3680

Officer/Director/Trustee Two

MICHAEL SERVANT
SECRETARY, TREASURER
413 TAYLOR STREET
ASHLAND OR 97520-3068

Officer/Director/Trustee Three

MARK HAGEMAN
VICE PRESIDENT
2680 COUNTRY PARK LN
MEDFORD OR 97504-6396

Organization’s website HTTP://SOMASWIM.ORG/
Organization’s email MATT@FLYTRAPCARE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/18
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: 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 MATT MILLER
Signature Title PRESIDENT, DIRECTOR
Signature Date 8/20/18

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