FORM 1023-EZ for PINEWOOD COUNTRY CLUB SWIM TEAM

Field Data
EIN 47-5262077
Case Number EO-2015299-000231
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PINEWOOD COUNTRY CLUB SWIM TEAM
Organization’s Mailing Address 405 COUNTRY CLUB BLVD
City SLIDELL
State LA
ZIP 70458
Accounting period End 12
Primary contact name LEARAE WEBB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEVIN SAMROW
PRESIDENT
333 LANDON DR
SLIDELL LA 70458

Officer/Director/Trustee Two

ANGELEA KRONLAGE
VICE PRESIDENT
512 LOGAN ISLAND CT
SLIDELL LA 70458

Officer/Director/Trustee Three

GINA ZELDEN
SECRETARY
1213 ROSEMEADOW
SLIDELL LA 70460

Officer/Director/Trustee Four

LEARAE WEBB
TREASURER
3142 MEADOW LAKE DR E
SLIDELL LA 70461

Organization’s website HTTP://WWW.PCC-PORPOISES.COM/HOME.JSP?TEAM=RECSTPPLA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2015
Organization Incorporation State LA
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 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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