FORM 1023-EZ for MARYVILLE ALCOA FLYING DOLPHINS SWIM TEAM ASSOCIATION

Field Data
EIN 82-2138398
Case Number EO-2017195-000301
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARYVILLE ALCOA FLYING DOLPHINS SWIM TEAM ASSOCIATION
Organization’s Mailing Address 1111 N NORTHSHORE DRIVE SUITE P250
City KNOXVILLE
State TN
ZIP 37919-4088
Accounting period End 12
Primary contact name ALEX SHORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEX SHORE
PRESIDENT
1111 N NORTHSHORE DR STE P250
KNOXVILLE TN 37919-4088

Officer/Director/Trustee Two

MARK PEIPER
VICE PRESIDENT
1111 N NORTHSHORE DR STE P250
KNOXVILLE TN 37919-4088

Officer/Director/Trustee Three

GREG HATHCOCK
SECRETARY
1111 N NORTHSHORE DR STE P250
KNOXVILLE TN 37919-4088

Officer/Director/Trustee Four

LISA BEST
TREASURER
1111 N NORTHSHORE DR STE P250
KNOXVILLE TN 37919-4088

Officer/Director/Trustee Five

MARK GRINDER
DIRECTOR
1111 N NORTHSHORE DR STE P250
KNOXVILLE TN 37919-4088

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/2017
Organization Incorporation State TN
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: Yes
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
Signature Title
Signature Date

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