FORM 1023-EZ for PIONEER AQUATICS BOOSTER CLUB

Field Data
EIN 45-2912483
Case Number EO-2019112-000383
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PIONEER AQUATICS BOOSTER CLUB
Organization’s Mailing Address 900 SOUTH CONYER
City VISALIA
State CA
ZIP 93277
Accounting period End 12
Primary contact name SHANNON ROHMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANNON ROHMAN
TREASURER
1440 SOUTH MANZANITA
VISALIA CA 93292-3556

Officer/Director/Trustee Two

CRYSTAL BELL
VICE PRESIDENT
1335 WEST HARVARD
VISALIA CA 93277

Officer/Director/Trustee Three

AMY HOHNE
PRESIDENET
15138 OAK RANCH DRIVE
VISALIA CA 93277

Officer/Director/Trustee Four

STEPHANIE APPLEGATE
SECRETARY
615 WEST CHERRY STREET
VISALIA CA 93277

Officer/Director/Trustee Five

MIKE PAIM
PARENT LIASON
15138 OAK RANCH DRIVE
VISALIA CA 93277

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/11
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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 Yes
Correctness Declaration Yes
Signature Name SHANNON ROHMAN
Signature Title TREASURER
Signature Date 4/17/19

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