FORM 1023-EZ for MATRIX WATER POLO ASSOCIATION

Field Data
EIN 84-4736490
Case Number EO-2020050-000312
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MATRIX WATER POLO ASSOCIATION
Organization’s Mailing Address 903 E ROUTE 66 STE D
City GLENDORA
State CA
ZIP 91740
Accounting period End 12
Primary contact name CHRISTIAN J APODACA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAWYER BELVILLE
PRESIDENT
4061 POLK CT
CHINO CA 91710-3193

Officer/Director/Trustee Two

CHRISTIAN APODACA
TREASURER
903 E ROUTE 66 SUITE D
GLENDORA CA 91740-3675

Officer/Director/Trustee Three

STACY BELVILLE
SECRETARY
4061 POLK CT
CHINO CA 91710-3193

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/2020
Organization Incorporation State CA
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 Yes
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 CHRISTIAN APODACA
Signature Title TREASURER
Signature Date 2/17/2020

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