FORM 1023-EZ for MHS SWIM AND DIVE SPLASH CLUB

Field Data
EIN 82-4269148
Case Number EO-2018060-000196
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MHS SWIM AND DIVE SPLASH CLUB
Organization’s Mailing Address PO BOX 1312
City MARSHFIELD
State MA
ZIP 2050
Accounting period End 12
Primary contact name CINDY COAKLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHERYL GALANTE
CO PRESIDENT
870 SUMMER ST
MARSHFIELD MA 2050

Officer/Director/Trustee Two

EMILY MOZOKI
CO PRESIDENT
246 VALLEY PATH
MARSHFIELD MA 2050

Officer/Director/Trustee Three

JAMES MOZOKI
VICE PRESIDENT
246 VALLEY PATH
MARSHFIELD MA 2050

Officer/Director/Trustee Four

WILLIAM MOEYKENS
TREASURER
11 LIBERTY RD
MARSHFIELD MA 2050

Officer/Director/Trustee Five

CINDY COAKLEY
DIRECTOR
38 CARLTON RD
MARSHFIELD MA 2050

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/18
Organization Incorporation State MA
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: 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 CINDY COAKLEY
Signature Title DIRECTOR
Signature Date 2/27/18

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