FORM 1023-EZ for NORTHEAST KINGDOM AQUATICS INC

Field Data
EIN 81-3282937
Case Number EO-2016273-000306
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHEAST KINGDOM AQUATICS INC
Organization’s Mailing Address PO BOX 82
City EAST BURKE
State VT
ZIP 05832
Accounting period End 12
Primary contact name JULIE TOWER-PIERCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TED CHITAMBAR
DIRECTOR
2197 PINE HILL ROAD
NEWPORT VT 05855

Officer/Director/Trustee Two

GWEN BAILEY-ROWE
DIRECTOR
PO BOX 417
DERBY VT 05829

Officer/Director/Trustee Three

VERONIKA JEDLOVSZKY
DIRECTOR
176 TOMAHAWK PATH
NEWPORT VT 05855

Officer/Director/Trustee Four

BRIANNA PAQUETTE
DIRECTOR
PO BOX 325
WEST BURKE VT 05871

Officer/Director/Trustee Five

JULIE TOWER-PIERCE
DIRECTOR
PO BOX 82
EAST BURKE VT 05832

Organization’s website HTTP://WWW.NORTHEASTKINGDOMAQUATICS.ORG
Organization’s email NORTHEASTKINGDOMAQUATICS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/2016
Organization Incorporation State VT
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: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 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
Signature Title
Signature Date

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