FORM 1023-EZ for SEISMIC CRUSH SWIM CLUB

Field Data
EIN 81-4785901
Case Number EO-2017009-000489
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SEISMIC CRUSH SWIM CLUB
Organization’s Mailing Address PO BOX 550
City CARUTHERSVILLE
State MO
ZIP 63830
Accounting period End 12
Primary contact name STEFFAN TROXEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY TAYLOR
PRESIDENT
1527 COUNTY ROAD 536
CARUTHERSVILLE MO 63830

Officer/Director/Trustee Two

BRANDEN BURK
VICE PRESIDENT
21761 STATE HIGHWAY EE
KENNETT MO 63857

Officer/Director/Trustee Three

PAM TAGASHIRA
SECRETARY
3988 US HIGHWAY 61
STEELE MO 63877

Organization’s website N/A
Organization’s email SEISMICSWIM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/2016
Organization Incorporation State MO
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: 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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