FORM 1023-EZ for FPWCA - FREESTYLE PERSONAL WATERCRAFT ASSOCIATION

Field Data
EIN 82-0728677
Case Number EO-2017072-000268
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FPWCA - FREESTYLE PERSONAL WATERCRAFT ASSOCIATION
Organization’s Mailing Address 1731 PEACHBLOSSOM DRIVE
City LAKE HAVASU CITY
State AZ
ZIP 86403-2844
Accounting period End 12
Primary contact name DR PETRA ILONA ZACEK - SECRETARY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VACLAV ZACEK
PRESIDENT
2212 KIOWA BLVD N UNIT 210
LAKE HAVASU CITY AZ 86403-2542

Officer/Director/Trustee Two

PETRA ILONA ZACEK
SECRETARY - TREASURER
2212 KIOWA BLVD N UNIT 210
LAKE HAVASU CITY AZ 86403-2542

Officer/Director/Trustee Three

MICHAELANN SHARRAI INGRAHAM
DIRECTOR
3464 REGAL CT
LAKE HAVASU CITY AZ 86404-2224

Organization’s website WWW.FPWCA.ORG
Organization’s email INFO@FPWCA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2017
Organization Incorporation State AZ
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: 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 Yes
Donation of funds No
Conducting Activities Outside of United States Yes
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
Signature Title
Signature Date

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