FORM 1023-EZ for CANTON HIGH SCHOOL BOYS SWIM AND DIVE INC

Field Data
EIN 38-3614302
Case Number EO-2019140-000368
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CANTON HIGH SCHOOL BOYS SWIM AND DIVE INC
Organization’s Mailing Address 7086 FOXRIDGE DR
City CANTON
State MI
ZIP 48187
Accounting period End 4
Primary contact name KARIN STOMBAUGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHARON CHURRY
PRESIDENT
265 ANN ST
PLYMOUTH MI 48170

Officer/Director/Trustee Two

BEVERLY WAYNE
SECRETARY
50495 BURR ST
CANTON MI 48188

Officer/Director/Trustee Three

KARIN STOMBAUGH
TREASURER
7086 FOXRIDGE DR
CANTON MI 48187

Officer/Director/Trustee Four

DAVID LE
DIRECTOR
8415 CANTON CENTER RD
CANTON MI 48187

Organization’s website
Organization’s email CANTONSWIMNDIVE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/19
Organization Incorporation State MI
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 KARIN STOMBAUGH
Signature Title TREASURER
Signature Date 5/17/19

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