FORM 1023-EZ for PARKLAND SWIM CLUB

Field Data
EIN 81-1672615
Case Number EO-2016144-000243
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PARKLAND SWIM CLUB
Organization’s Mailing Address 1766 PINEWIND DRIVE
City ALBURTIS
State PA
ZIP 18011
Accounting period End 12
Primary contact name SEAN FISHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT ROBITAILLE
PRESIDENT
4101 SAND SPRING ROAD APT N3
SCHNECKSVILLE PA 18078

Officer/Director/Trustee Two

ALICIA WATKINS
VICE PRESIDENT
5508 HOFFMAN DR NORTH
SCHNECKSVILLE PA 18078

Officer/Director/Trustee Three

PAULA FISHER
SECRETARY
1766 PINEWIND DRIVE
ALBURTIS PA 18011

Officer/Director/Trustee Four

SEAN FISHER
MEMBER AT LARGE
1766 PINEWIND DRIVE
ALBURTIS PA 18011

Officer/Director/Trustee Five

JENNIFER ROBITAILLE
MEMBER AT LARGE
4101 SAND SPRING ROAD APT N3
SCHNECKSVILLE PA 18078

Organization’s website
Organization’s email PARKLANDSWIMCLINIC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/2016
Organization Incorporation State PA
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 No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
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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