FORM 1023-EZ for CHERRY CREEK AQUATIC BOOSTER CLUB INC

Field Data
EIN 47-1554457
Case Number EO-2014226-000277
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHERRY CREEK AQUATIC BOOSTER CLUB INC
Organization’s Mailing Address 5614 S VENTURA CT
City CENTENNIAL
State CO
ZIP 80015
Accounting period End 12
Primary contact name KIM STEPHENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JESSICA VITCENDA
PRESIDENT
8731 E FREMONT CIR
CENTENNIAL CO 80112

Officer/Director/Trustee Two

DAWN THOMPSON
TREASURER
5614 S VENTURA CT
CENTENNIAL CO 80015

Officer/Director/Trustee Three

JANET FUQUA
SECRETARY
9856 E CRESTLINE CIR
GREENWOOD VILLAGE CO 80111

Organization’s website WWW.CHERRYCREEKBOYS.SWIMTOPIA.COM
Organization’s email CREEKSWIM@LIVE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2014
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 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 Yes
One Third Support Gifts No
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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