FORM 1023-EZ for VHS SWIM AND DIVE BOOSTER CLUB

Field Data
EIN 85-1087340
Case Number EO-2020157-000077
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VHS SWIM AND DIVE BOOSTER CLUB
Organization’s Mailing Address 9500 MCNEIL DRIVE
City AUSTIN
State TX
ZIP 78750
Accounting period End 6
Primary contact name ARIEL BRITVA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YVETTE YUNG
PRESIDENT
7913 DAVID MOUNTAIN PASS
AUSTIN TX 78726

Officer/Director/Trustee Two

ARIEL BRITVA
TREASURER
13500 COUNTRY TRAILS LANE
AUSTIN TX 78732

Officer/Director/Trustee Three

SHANNON NADEN
SECRETARY
5405 KITE TAIL DR
AUSTIN TX 78730

Officer/Director/Trustee Four

AMY BEDFORD
VP FUNDRAISING
11800 PALISADES PKWY
AUSTIN TX 78732

Officer/Director/Trustee Five

STEPHANIE BRIED
VP SPIRIT
12710 MAJESTIC OAKS DR
AUSTIN TX 78732

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 ARIEL BRITVA
Signature Title TREASURER
Signature Date 6/3/2020

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