FORM 1023-EZ for TOKAY SWIM AND WATER POLO BOOSTERS

Field Data
EIN 84-3335464
Case Number EO-2020111-000435
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TOKAY SWIM AND WATER POLO BOOSTERS
Organization’s Mailing Address 2669 DOUGLAS FIR
City LODI
State CA
ZIP 95242
Accounting period End 6
Primary contact name NICOLE J BRUCKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE BRUCKER
CHIEF EXECUTIVE OFFICER
2669 DOUGLAS FIR
LODI CA 95242

Officer/Director/Trustee Two

HEATHER MCCRACKEN
SECRETARY
2345 MONUMENT DRIVE
LODI CA 95242

Officer/Director/Trustee Three

JODY CARPENTER
CHIEF FINANCIAL OFFICER
1536 TIMBERLAKE CIRCLE
LODI CA 95242

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2019
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: 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 NICOLE BRUCKER
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 4/17/2020

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