FORM 1023-EZ for TRITON AMATEUR SWIMMING FOUNDATIONCORPORATION

Field Data
EIN 86-2289630
Case Number EO-2021099-001818
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRITON AMATEUR SWIMMING FOUNDATIONCORPORATION
Organization’s Mailing Address 1148 LUKE STREET
City KING
State NC
ZIP 27021
Accounting period End 12
Primary contact name WILLIAM B AMBURN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VAVINA LAPHAM
PRESIDENT/EXECUTIVE DIRECTOR
1148 LUKE STREET
KING NC 27021

Officer/Director/Trustee Two

JONATHAN ELOLF
TREASURER/DIRECTOR
1148 LUKE STREET
KING NC 27021

Officer/Director/Trustee Three

JENA NICKELSON
SECRETARY/DIRECTOR
1148 LUKE STREET
KING NC 27021

Organization’s website
Organization’s email VAVINA@KINGTRITONAQUATICS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/2021
Organization Incorporation State NC
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 VAVINA LAPHAM
Signature Title PRESIDENT/EXECUTIVE DIRECTOR
Signature Date 3/29/2021

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