FORM 1023-EZ for HAVRE LIONS PARENTS SWIM CLUB

Field Data
EIN 81-6016019
Case Number EO-2019226-000321
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAVRE LIONS PARENTS SWIM CLUB
Organization’s Mailing Address PO BOX 207
City HAVRE
State MT
ZIP 59501
Accounting period End 12
Primary contact name TRACY CARROLL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACY CARROLL
TREASURER A
4333 OLD POST RD
HAVRE MT 59501

Officer/Director/Trustee Two

MICHELLE SMITH
SECRETARY
5123 COUNTRY RD 838 NW
HAVRE MT 59501

Officer/Director/Trustee Three

DANIELLE COURTNAGE
MEMBER AT LARGE & APPAREL
89 19TH ST
HAVRE MT 59501

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/07
Organization Incorporation State MT
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: No
Religious: No
Educational: No
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name TRACY CARROLL
Signature Title TREASURER A
Signature Date 8/12/19

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