FORM 1023-EZ for CENTRAL HIGH SCHOOL GIRLS SWIM AND DIVE BOOSTER CLUB

Field Data
EIN 82-2882653
Case Number EO-2017283-000116
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CENTRAL HIGH SCHOOL GIRLS SWIM AND DIVE BOOSTER CLUB
Organization’s Mailing Address 5093 S LAFONTAINE AVE
City SPRINGFIELD
State MO
ZIP 65810-2227
Accounting period End 6
Primary contact name SCOTT FIEDLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT FIEDLER
PRESIDENT
5093 S LA FONTAINE AVE
SPRINGFIELD MO 65810-2227

Officer/Director/Trustee Two

SHERRY BARTO
PRESIDENT-ELECT
3235 N TRAVIS
SPRINGFIELD MO 65803-7558

Officer/Director/Trustee Three

TORI ZETTL
SECRETARY
2516 W KATELLA LANE
SPRINGFIELD MO 65807-4029

Officer/Director/Trustee Four

CINDY FIEDLER
TREASURER
5093 S LA FONTAINE AVE
SPRINGFIELD MO 65810-2227

Organization’s website HTTPS://CHSLRGIRLSSWIMMING@SHUTTERFLY.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2017
Organization Incorporation State MO
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 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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