FORM 1023-EZ for SWIM BRAYV FOUNDATION

Field Data
EIN 82-0618655
Case Number EO-2017096-000217
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SWIM BRAYV FOUNDATION
Organization’s Mailing Address 5701 SANTA CATALINA AVE
City GARDEN GROVE
State CA
ZIP 92845
Accounting period End 12
Primary contact name CANDACE THOME-HOPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CANDACE THOME-HOPSON
PRESIDENT AND CHAIR
5701 SANTA CATALINA AVE
GARDEN GROVE CA 92845

Officer/Director/Trustee Two

TALITHA RILEY
SECRETARY AND TREASURER
801 WORTHINGTON ST
BREA CA 92821

Officer/Director/Trustee Three

DAVID OBSTFELD
BOARD DIRECTOR
2550 NUTWOOD AVE
FULLERTON CA 92831

Officer/Director/Trustee Four

MEGAN GAVER
BOARD DIRECTOR
5632 COLFAX AVE
NORTH HOLLYWOOD CA 91601

Officer/Director/Trustee Five

NANNETTE BRODIE
BOARD DIRECTOR
1840 SNOWDEN AVE
LONG BEACH CA 90815

Organization’s website HTTP://SWIMBRAYV.ORG/
Organization’s email CANDACE.THOME@SWIMBRAYV.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/23/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
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
Signature Title
Signature Date

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