FORM 1023-EZ for BELLA VISTA AQUATICS
| Field | Data |
|---|---|
| EIN | 83-4659103 |
| Case Number | EO-2019171-000205 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BELLA VISTA AQUATICS |
| Organization’s Mailing Address | 7862 WINDING WAY-814 |
| City | FAIR OAKS |
| State | CA |
| ZIP | 95628 |
| Accounting period End | 6 |
| Primary contact name | MICHAEL E BURGENGER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MICHAEL BURGENGER
PRESIDENT
7862 WINDING WAY -814
FAIR OAKS CA 95628
Officer/Director/Trustee Two
DARIN HOLCOMBE
VICE PRESIDENT - SWIM AND DIVE
7862 WINDING WAY -814
FAIR OAKS CA 95628
Officer/Director/Trustee Three
SARA BATCHELOR
VICE PRESIDENT - WATER POLO
7862 WINDING WAY -814
FAIR OAKS CA 95628
Officer/Director/Trustee Four
SANDY MARCEL
TREASURER
7862 WINDING WAY -814
FAIR OAKS CA 95628
Officer/Director/Trustee Five
GINA JONES
SECRETARY
7862 WINDING WAY -814
FAIR OAKS CA 95628
| Organization’s website | HTTPS://WWW.BVAQUATICS.COM |
|---|---|
| Organization’s email | INFO@BVAQUATICS.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/8/19 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B11 - Single Organization Support |
| Organization’s purpose | Charitable: Yes 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 | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | MICHAEL BURGENGER |
| Signature Title | PRESIDENT |
| Signature Date | 6/18/19 |
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