FORM 1023-EZ for CENTRAL VERMONT SWIM CLUB

Field Data
EIN 33-1150662
Case Number EO-2015168-000153
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CENTRAL VERMONT SWIM CLUB
Organization’s Mailing Address 25 GARAND HILL RD
City MIDDLESEX
State VT
ZIP 05602
Accounting period End 3
Primary contact name ERIC PEMBROKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ERIC PEMBROKE
TREASURER
25 GARAND HILL RD
MIDDLESEX VT 05602

Officer/Director/Trustee Two

RENEE AFFOLTER
SECRETARY
33 CLARENDON AVE
MONTPELIER VT 05602

Officer/Director/Trustee Three

JEAN STETTER
DIRECTOR
2 MARVIN STREET
MONTPELIER VT 05602

Officer/Director/Trustee Four

NICOLE FAHEY
DIRECTOR
193 GEORGE STREET
ORANGE VT 05641

Officer/Director/Trustee Five

PAUL TAYLOR
DIRECTOR
4 OWEN DRIVE
BARRE VT 05641

Organization’s website WWW.TEAMUNIFY.COM/NECVSC
Organization’s email CONTACT.CVSC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2007
Organization Incorporation State VT
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: 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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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