FORM 1023-EZ for WHITNEY WATER POLO CLUB

Field Data
EIN 85-2238655
Case Number EO-2020216-000619
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WHITNEY WATER POLO CLUB
Organization’s Mailing Address 8035 MADISON AVE STE A1
City CITRUS HEIGHTS
State CA
ZIP 95610
Accounting period End 12
Primary contact name GREGORY JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREGORY JOHNSON
PRESIDENT
5161 KIPP WAY
CARMICHAEL CA 95608

Officer/Director/Trustee Two

CATHRINE ETCHAMENDY
TREASURER
800 LAZY CREEK DRIVE
ROCKLIN CA 95765

Officer/Director/Trustee Three

BRENT CRAFT
DIRECTOR
811 SPOTTED PONY LN
ROCKLIN CA 95765

Officer/Director/Trustee Four

RACHEL HOLM
DIRECTOR
701 WILDCAT BLVD
ROCKLIN CA 95765

Officer/Director/Trustee Five

MARC SCHMATJEN
DIRECTOR
1913 AZALEA AVE
ROCKLIN CA 95765

Organization’s website
Organization’s email WHITNEYHIGHWATERPOLO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GREGORY JOHNSON
Signature Title PRESIDENT
Signature Date 7/31/2020

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