FORM 1023-EZ for MADISON SWIM CLUB INC

Field Data
EIN 46-2365154
Case Number EO-2015071-001001
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MADISON SWIM CLUB INC
Organization’s Mailing Address 57 KNUTSON DR
City MADISON
State WI
ZIP 53704
Accounting period End 12
Primary contact name SUZANNE GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL KVITRUD
PRESIDENT
4226 PORTLAND PKWY
MADISON WI 53714

Officer/Director/Trustee Two

STEPHEN JUSTINGER
VICE PRESIDENT
6047 HAGEN HILL CIRCLE
MADISON WI 53718

Officer/Director/Trustee Three

SUZANNE GREEN
TREASURER
57 KNUTSON DR
MADISON WI 53704

Officer/Director/Trustee Four

PAMELA COTANT
SECRETARY
2922 OAKRIDGE AVE
MADISON WI 53704

Organization’s website WWW.SWIMMOWS.ORG
Organization’s email SWIM.MOWS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/2013
Organization Incorporation State WI
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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