FORM 1023-EZ for QUEEN CITY WATER POLO INC

Field Data
EIN 81-2249636
Case Number EO-2017041-000176
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name QUEEN CITY WATER POLO INC
Organization’s Mailing Address 6521 BAYWOOD LN
City CINCINNATI
State OH
ZIP 45224
Accounting period End 12
Primary contact name DAVID ALBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATT GARBELLINI
PRESIDENT
2578 MARKBREIT
CINCINNATI OH 45209

Officer/Director/Trustee Two

DAVID ALBERT
VICE PRESIDENT
6521 BAYWOOD LN
CINCINNATI OH 45224

Officer/Director/Trustee Three

BRENDAN CHISHOLM
TREASURER
1710 BRUCE AVE NO 204
CINCINNATI OH 45223

Officer/Director/Trustee Four

JACOB ENRIQUEZ
DIRECTOR
1510 KNOWLTON ST NO 102
CINCINNATI OH 45223

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/2016
Organization Incorporation State OH
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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