FORM 1023-EZ for RHODE ISLAND MASSACHUSETTS SWIMMING

Field Data
EIN 43-3164995
Case Number EO-2017041-000130
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RHODE ISLAND MASSACHUSETTS SWIMMING
Organization’s Mailing Address 401 ELMGROVE AVENUE
City PROVIDENCE
State RI
ZIP 02906
Accounting period End 6
Primary contact name DOUG IMMEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICKOLAS ROGERS
PRESIDENT
1 MCKEE WAY
CUMBERLAND RI 02864

Officer/Director/Trustee Two

KAYLEIGH LAGASSE
SECRETARY
1 MOELLER PLACE
PAWTUCKET RI 02860

Officer/Director/Trustee Three

DOUG IMMEL
TREASURER
401 ELMGROVE AVENUE
PROVIDENCE RI 02906

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/2016
Organization Incorporation State RI
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: No
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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