FORM 1023-EZ for TRI-COUNTY SWIM ASSOCIATION DBA SOUTHERN INDIANA SWIM ASSOCIATION

Field Data
EIN 83-1294158
Case Number EO-2018206-000267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRI-COUNTY SWIM ASSOCIATION DBA SOUTHERN INDIANA SWIM ASSOCIATION
Organization’s Mailing Address 2400 MOLLY BROWN DRIVE
City CORYDON
State IN
ZIP 47112
Accounting period End 12
Primary contact name KELLY WELLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY WELLS
TREASURER
2400 MOLLY BROWN DRIVE NW
CORYDON IN 47112

Officer/Director/Trustee Two

AMY WHITLATCH
PRESIDENT
620 WEST UTICA APT 4
SELLERSBURG IN 47172

Officer/Director/Trustee Three

RON ZINK
BOARD MEMBER
1975 BANNER AVE
CORYDON IN 47112

Officer/Director/Trustee Four

RICHARD SAWYER
VICE PRESIDENT
977 LEVEL ST
CHARLESTOWN IN 47111

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/83
Organization Incorporation State IN
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: 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 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 KELLY WELLS
Signature Title TREASURER
Signature Date 7/23/18

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