FORM 1023-EZ for SWIM ITHACA INC

Field Data
EIN 46-4134955
Case Number EO-2014336-000393
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SWIM ITHACA INC
Organization’s Mailing Address 870 HIGHLAND ROAD
City ITHACA
State NY
ZIP 14850
Accounting period End 8
Primary contact name PETER BROWNING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SCOTT ADAMS
PRESIDENT
207 YAPLE ROAD
ITHACA NY 14850

Officer/Director/Trustee Two

SARAH JEFFRIES
VICE PRESIDENT
37 UPTOWN ROAD APT 13F
ITHACA NY 14850

Officer/Director/Trustee Three

PETER BROWNING
TREASURER
870 HIGHLAND ROAD
ITHACA NY 14850

Officer/Director/Trustee Four

STEVE JACKSON
SECRETARY
1324 ELLIS HOLLOW ROAD
ITHACA NY 14850

Officer/Director/Trustee Five

ED KIEFER
BOARD MEMBER
320 THE PARKWAY
ITHACA NY 14850

Organization’s website WWW.SWIMITHACA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/2013
Organization Incorporation State NY
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: No
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 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
Signature Title
Signature Date

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