FORM 1023-EZ for SLO WATER POLO CLUB

Field Data
EIN 36-4814413
Case Number EO-2015355-000180
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SLO WATER POLO CLUB
Organization’s Mailing Address PO BOX 12743
City SAN LUIS OBISPO
State CA
ZIP 93406
Accounting period End 8
Primary contact name LAURA ALBERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEVIN HILL
PRESIDENT
870 EL CAPITAN WAY
SAN LUIS OBISPO CA 93401

Officer/Director/Trustee Two

LAURI RAINWATER-QUINN
TREASURER
227 EL PORTAL DRIVE
SHELL BEACH CA 93449

Officer/Director/Trustee Three

LAURA ALBERS
SECRETARY
1351 ROYAL WAY APT 35
SAN LUIS OBISPO CA 93405

Officer/Director/Trustee Four

ANDREW WRIGHT
DIRECTOR
1127 TULIP COURT
SAN LUIS OBISPO CA 93401

Officer/Director/Trustee Five

SHERRI PRATER
DIRECTOR
4320 LARKSPUR STREET
SAN LUIS OBISPO CA 93401

Organization’s website WWW.SLOWATERPOLOCLUB.ORG
Organization’s email SLOWPC.SECRETARY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/2015
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
Signature Title
Signature Date

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