FORM 1023-EZ for SOUTH SIDE TRIATHLON INC

Field Data
EIN 47-4926686
Case Number EO-2015258-000169
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH SIDE TRIATHLON INC
Organization’s Mailing Address 2233 HALLADAY TRL
City FORT WORTH
State TX
ZIP 76108
Accounting period End 12
Primary contact name LIESEL STREICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LIESEL STREICH
PRESIDENT
2233 HALLADAY TRL
FORT WORTH TX 76108

Officer/Director/Trustee Two

MARY STAFFELD
SECRETARY
1204 COZBY ST WEST
BENBROOK TX 76126

Officer/Director/Trustee Three

KRISTINA LARGE
VICE PRESIDENT
7300 LAKE ROCK DRIVE
FORT WORTH TX 76179

Officer/Director/Trustee Four

JOHN RECHNITZER
TREASURER
803 HAWTHORNE AVE
FORT WORTH TX 76110

Officer/Director/Trustee Five

MARYANNE UNDERWOOD
SCHOLARSHIP CHAIR
4817 WESTRIDGE AVE
FORT WORTH TX 76116

Organization’s website WWW.SOUTHSIDETRIATHLONCLUB.ORG
Organization’s email COACH@SOUTHSIDETRIATHLONCLUB.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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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