FORM 1023-EZ for APS WATER POLO INC

Field Data
EIN 83-0973347
Case Number EO-2019070-000149
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name APS WATER POLO INC
Organization’s Mailing Address 840 BARNETT STREET NORTHEAST
City ATLANTA
State GA
ZIP 30306
Accounting period End 12
Primary contact name ANDREA MICHELLE JOHNSON MADDOX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA MICHELLE JOHNSON MADDOX
DIRECTOR
840 BARNETT STREET NORTHEAST
ATLANTA GA 30306-3730

Officer/Director/Trustee Two

SARA HAYNES
DIRECTOR
1811 MEADOWDALE AVENUE
ATLANTA GA 30306

Officer/Director/Trustee Three

KAREN ROMAN
DIRECTOR
988 SOMERSET DRIVE NE
ATLANTA GA 30327

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/18
Organization Incorporation State GA
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: Yes
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 ANDREA MICHELLE JOHNSON MADDOX
Signature Title DIRECTOR
Signature Date 3/8/19

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