FORM 1023-EZ for CAPITAL CITY SWIM CLUB BOOSTER ASSOCIATION

Field Data
EIN 82-3488126
Case Number EO-2017328-000443
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAPITAL CITY SWIM CLUB BOOSTER ASSOCIATION
Organization’s Mailing Address 7901 NW ROCHESTER RD
City TOPEKA
State KS
ZIP 66617
Accounting period End 8
Primary contact name ZACHARY WAGERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZACHARY WAGERS
PRESIDENT
7901 NW ROCHESTER RD
TOPEKA KS 66617

Officer/Director/Trustee Two

ANDREA DUERSON
SECRETARY
4834 SW 19TH ST
TOPEKA KS 66604

Officer/Director/Trustee Three

SHOSHANNAH PLATT
TREASURER
3205 SW WESTVIEW AVE
TOPEKA KS 66611

Organization’s website
Organization’s email CCSCBOOSTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/22/2017
Organization Incorporation State KS
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 Yes
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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