FORM 1023-EZ for INTERNATIONAL WATER SAFETY FOUNDATION INC

Field Data
EIN 47-3213999
Case Number EO-2016056-000194
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INTERNATIONAL WATER SAFETY FOUNDATION INC
Organization’s Mailing Address 400 NORTH CENTER DR BLDG 3 STE 212
City NORFOLK
State VA
ZIP 23502
Accounting period End 12
Primary contact name KENT ALLISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHAUN ANDERSON
DIRECTOR
2113 ATLANTIC AVENUE APT 602
VIRGINIA BEACH VA 23451

Officer/Director/Trustee Two

NATHAN TSCHOHL
DIRECTOR
3727 JEFFERSON BLVD
VIRGINIA BEACH VA 23455

Officer/Director/Trustee Three

MIRIAM LYNCH
DIRECTOR
2050 JAMISON AVENUE APT 1107
ALEXANDRIA VA 22314

Officer/Director/Trustee Four

JAYSON JACKSON
DIRECTOR
110 HORSESHOE CIRCLE
PENNSYLVANIA FURNACE PA 16865

Officer/Director/Trustee Five

KENT ALLISON
SECRETARY
400 N CENTER DR BLDG 3 SUITE 212
NORFOLK VA 23502

Organization’s website INTERNATIONALWATERSAFETYDAY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2015
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
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 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 Yes
One Third Support Gifts No
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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