FORM 1023-EZ for USS DESTROYER SWIM CLUB INC

Field Data
EIN 26-4590640
Case Number EO-2018170-000139
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name USS DESTROYER SWIM CLUB INC
Organization’s Mailing Address 504 BISHOP AVENUE
City LAPORTE CITY
State IA
ZIP 50651
Accounting period End 12
Primary contact name SETH SHEPARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SETH SHEPARD
PRESIDENT
504 BISHOP AVENUE
LAPORTE CITY IA 50651

Officer/Director/Trustee Two

JIM HERINK
VICE PRESIDENT
1014 LYNDA ROAD
WATERLOO IA 50701

Officer/Director/Trustee Three

AARON SCHAVER
TREASURER
2730 EDGEMONT AVENUE
WATERLOO IA 50702

Officer/Director/Trustee Four

JOE CULLEN
ASST TREASURER
29698 190TH STREET
REINBECK IA 50669

Officer/Director/Trustee Five

LAUREN HERINK
SECRETARY
1014 LYNDA ROAD
WATERLOO IA 50701

Organization’s website WWW.USSDESTROYERS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/2/09
Organization Incorporation State IA
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 SETH SHEPARD
Signature Title PRESIDENT
Signature Date 6/15/18

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