FORM 1023-EZ for US VETERAN SWIM CHALLENGE INC

Field Data
EIN 83-1499834
Case Number EO-2018222-000286
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name US VETERAN SWIM CHALLENGE INC
Organization’s Mailing Address 1757 SW 19TH CT
City GRESHAM
State OR
ZIP 97080
Accounting period End 12
Primary contact name EARLE CONKLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EARLE CONKLIN
PRESIDENT
1757 SW 19TH CT
GRESHAM OR 97080-9654

Officer/Director/Trustee Two

KIRK MCKINNEY
SECRETARY
122 CRESTMOOR CIRCLE
PACIFICA CA 94044-1514

Officer/Director/Trustee Three

TERRI PARKER
TREASURER
115 SANDALWOOD CT
SANTA ROSA CA 95401-6039

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/7/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 EARLE CONKLIN
Signature Title PRESIDENT
Signature Date 8/8/18

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