FORM 1023-EZ for GHS SWIM AND DIVE BOOSTER CLUB

Field Data
EIN 20-5398635
Case Number EO-2019214-000252
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GHS SWIM AND DIVE BOOSTER CLUB
Organization’s Mailing Address 1101 E ELLIOT RD
City GILBERT
State AZ
ZIP 85234
Accounting period End 6
Primary contact name LYNETTE BUMP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CANDACE KOMLODI
PRESIDENT
2745 E PEGASUS ST
GILBERT AZ 85234

Officer/Director/Trustee Two

HEATHER DRIGGERS
VICE PRESIDENT
424 E TREMAINE AVE
GILBERT AZ 85234

Officer/Director/Trustee Three

NICOLE MARTIN
SECRETARY
4284 E DUBLIN ST
GILBERT AZ 85295

Officer/Director/Trustee Four

LYNETTE BUMP
TREASURER
988 S QUINN CT
GILBERT AZ 85296

Organization’s website HTTPS://SITES.GOOGLE.COM/SITE/GILBERTSWIMDIVE/
Organization’s email GILBERTSWIMDIVE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/19
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: Yes
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 LYNETTE BUMP
Signature Title TREASURER
Signature Date 7/31/19

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