FORM 1023-EZ for WAUSEON AQUATIC SWIM CLUB INC

Field Data
EIN 83-4365286
Case Number EO-2020034-000439
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WAUSEON AQUATIC SWIM CLUB INC
Organization’s Mailing Address 7232 COUNTY ROAD 13
City WAUSEON
State OH
ZIP 43567
Accounting period End 12
Primary contact name ANDREA KONIECZKA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA KONIECZKA
PRESIDENT
7232 COUNTY ROAD 13
WAUSEON OH 43567

Officer/Director/Trustee Two

KRISTEN RHOADES
SECRETARY
11859 COUNTY ROAD H
DELTA OH 43515

Officer/Director/Trustee Three

AMY FISHER
TREASURER
336 E LEGGETT
WAUSEON OH 43567

Officer/Director/Trustee Four

HEATHER PENA
VICE PRESIDENT
134 1/2 NORTH FULTON STREET APT 3
WAUSEON OH 43567

Officer/Director/Trustee Five

JENNIFER COLON
BRD MBR AT LARGE
221 N FRANKLIN STREET
WAUSEON OH 43567

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/2017
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 ANDREA KONIECZKA
Signature Title PRESIDENT
Signature Date 1/31/2020

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