FORM 1023-EZ for QUEEN CITY WATER SPORTS CENTER INC

Field Data
EIN 46-4055017
Case Number EO-2017146-000201
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name QUEEN CITY WATER SPORTS CENTER INC
Organization’s Mailing Address 4580 RIDGEWOOD COURT
City BATAVIA
State OH
ZIP 45103
Accounting period End 12
Primary contact name PEDRO PALACIOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PEDRO PALACIOS
PRESIDENT
4580 RIDGEWOOD COURT
BATAVIA OH 45103

Officer/Director/Trustee Two

MARCIE NEWILL
VICE PRESIDENT
295 EAST LONG ST 312
COLUMBUS OH 43215

Officer/Director/Trustee Three

PAUL ARNDST
SECRETARY
111177 OAK ST
CINCINNATI OH 45241

Officer/Director/Trustee Four

JAKE MERCURI
WEBMASTER
11733 AVON WAY 201
LOS ANGELES CA 90066

Officer/Director/Trustee Five

ALAN BERNSTEIIN
DIRECTOR
101 RIVERBOAT ROW
NEWPORT OH 41071

Organization’s website WWW.QUEENCITYROWING.COM
Organization’s email NLR@ZOOMTOWN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2013
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N30 - Physical Fitness and Community Recreational Facilities
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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