FORM 1023-EZ for ROSS SWIM CLUB

Field Data
EIN 85-3636109
Case Number EO-2021100-001009
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROSS SWIM CLUB
Organization’s Mailing Address 3902 DORIS DRIVE
City OKEANA
State OH
ZIP 45053
Accounting period End 12
Primary contact name SHAWN BURT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWN BURT
TRUSTEE
3902 DORIS DRIVE
OKEANA OH 45053

Officer/Director/Trustee Two

JOE STEWART
TRUSTEE
3601 HAMILTON CLEVES ROAD
HAMILTON OH 45013

Officer/Director/Trustee Three

RACHEL SMITH
TRUSTEE
3601 HAMILTON CLEVES ROAD
HAMILTON OH 45013

Organization’s website
Organization’s email ROSSSWIMCLUB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/27/2020
Organization Incorporation State OH
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: 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 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 SHAWN BURT
Signature Title TRUSTEE
Signature Date 3/30/2021

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