FORM 1023-EZ for FUSION AQUATICS PARENT BOOSTER CLUB

Field Data
EIN 82-3032816
Case Number EO-2020258-000655
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FUSION AQUATICS PARENT BOOSTER CLUB
Organization’s Mailing Address 2884 TUMBLEWEED ST
City ONTARIO
State CA
ZIP 91761-5106
Accounting period End 12
Primary contact name JOHNNIE L FRATER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHNNIE FRATER
SECRETARY
3354 ROCHELLE LANE
CORONA CA 92882

Officer/Director/Trustee Two

ETHEL SIRIBAN
PRESIDENT
2884 TUMBLEWEED ST
ONTARIO CA 91761-5106

Officer/Director/Trustee Three

BETTY KEELING
TREASURER
1310 W OLIVE
REDLANDS CA 92373

Officer/Director/Trustee Four

DANNY GARZA
MEMBER AT LARGE
959 HEMINGWAY ST
CORONA CA 92880

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/2017
Organization Incorporation State CA
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: Yes
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOHNNIE FRATER
Signature Title SECRETARY
Signature Date 9/11/2020
EIN 82-3032816
Case Number EO-2017285-000261
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FUSION AQUATICS PARENT BOOSTER CLUB
Organization’s Mailing Address 2884 TUMBLEWEED STREET
City ONTARIO
State CA
ZIP 91761-5106
Accounting period End 12
Primary contact name JOHNNIE LYNN FRATER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ETHEL SIRIBAN
PRESIDENT
2884 TUMBLEWEED ST
ONTARIO CA 91761

Officer/Director/Trustee Two

BETTY KEELING
TREASURER
1410 WEST OLIVE AVE
REDLANDS CA 92373

Officer/Director/Trustee Three

JOHNNIE FRATER
SECRETARY
3354 ROCHELLE LANE
CORONA CA 92882

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/2017
Organization Incorporation State CA
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: Yes
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 Yes
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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