FORM 1023-EZ for LASSEN VOLCANOES SWIM TEAM

Field Data
EIN 84-2115978
Case Number EO-2019171-000194
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LASSEN VOLCANOES SWIM TEAM
Organization’s Mailing Address PO BOX 763
City SUSANVILLE
State CA
ZIP 96130
Accounting period End 12
Primary contact name MANDY MCGARVA CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MEGAN LUNA
PRESIDENT
PO BOX 763
SUSANVILLE CA 96130

Officer/Director/Trustee Two

JAMES HALL
SECRETARY
PO BOX 763
SUSANVILLE CA 96130

Officer/Director/Trustee Three

SUSAN SHRUM
TREASURER
PO BOX 763
SUSANVILLE CA 96130

Officer/Director/Trustee Four

CAMILLE BUEHLER
DIRECTOR
PO BOX 763
SUSANVILLE CA 96130

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/18
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 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 MEGAN LUNA
Signature Title PRESIDENT
Signature Date 6/18/19

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