FORM 1023-EZ for TECUMSEH SWIMMING CLUB INCORPORATED

Field Data
EIN 27-3509164
Case Number EO-2016328-000178
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TECUMSEH SWIMMING CLUB INCORPORATED
Organization’s Mailing Address 5244 W STATE ROUTE 68
City LYNNVILLE
State IN
ZIP 47619
Accounting period End 12
Primary contact name BECKY BRUCKEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNETTE BUSE
PRESIDENT
5255 W STATE RT 68
LYNNVILLE IN 47619

Officer/Director/Trustee Two

SUZANNE HALL
VICE PRESIDENT
3566 BARREN FORK RD
TENNYSON IN 47637

Officer/Director/Trustee Three

CINDY FUHRIMAN
SECRETARY
8188 ST JOHNS RD
ELBERFELD IN 47613

Officer/Director/Trustee Four

BECKY BRUCKEN
TREASURER
400 HUMPHREY RD
LYNNVILLE IN 47619

Organization’s website WWW.TECUMSEHSWIMCLUB.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/22/2010
Organization Incorporation State IN
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 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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