FORM 1023-EZ for PUEBLO WEST SWIM CLUB

Field Data
EIN 84-1591726
Case Number EO-2017059-000143
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PUEBLO WEST SWIM CLUB
Organization’s Mailing Address 256 S CADDOA DR
City PUEBLO WEST
State CO
ZIP 81007
Accounting period End 1
Primary contact name JEANNINE RADOIEVICI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACY MORRIS
PRESIDENT
356 S ELEGANTE DR
PUEBLO WEST CO 81007

Officer/Director/Trustee Two

ALYSA JOHNSON
SECRETARY
12 WALLFLOWER CT
PUEBLO CO 81001

Officer/Director/Trustee Three

JEANNINE RADOIEVICI
TREASURER
256 S CADDOA DR
PUEBLO WEST CO 81007

Organization’s website HTTPS://WWW.TEAMUNIFY.COM/HOME.JSP?TEAM=COPWSC
Organization’s email RADMJW4A@HOTMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/25/2001
Organization Incorporation State CO
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: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
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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