FORM 1023-EZ for MILLENNIUM HIGH SCHOOL SWIM AND DIVE BOOSTER CLUB

Field Data
EIN 82-2796784
Case Number EO-2020224-000685
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MILLENNIUM HIGH SCHOOL SWIM AND DIVE BOOSTER CLUB
Organization’s Mailing Address 4334 N 159TH DRIVE
City GOODYEAR
State AZ
ZIP 85395-6434
Accounting period End 12
Primary contact name CYNTHIA CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SEAN HUSMOE
PRESIDENT
4402 N 153RD LANE
GOODYEAR AZ 85395-6434

Officer/Director/Trustee Two

ALAYNE WEATHERSBY
SECRETARY
15102 N HIGHLAND AVE
GOODYEAR AZ 85395-6434

Officer/Director/Trustee Three

CYNTHIA CLARK
VICE PRESIDENT
4334 N 159TH DRIVE
GOODYEAR AZ 85395-6434

Officer/Director/Trustee Four

KIERA SUAVERDEZ
TREASURER
4366 N 159TH AVE
GOODYEAR AZ 85395-6434

Organization’s website N/A
Organization’s email MILLENNIUMSWIMBOOSTERCLUB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/2019
Organization Incorporation State AZ
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CYNTHIA CLARK
Signature Title VICE PRESIDENT
Signature Date 8/8/2020

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