FORM 1023-EZ for PALM BEACH UNITED WATER POLO FOUNDATION

Field Data
EIN 84-2955226
Case Number EO-2021084-000129
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PALM BEACH UNITED WATER POLO FOUNDATION
Organization’s Mailing Address 1503 SIENA LN
City BOYNTON BEACH
State FL
ZIP 33436
Accounting period End 8
Primary contact name KURT PREDMORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KURT PREDMORE
PRESIDENT
1503 SIENA LN
BOYNTON BEACH FL 33436

Officer/Director/Trustee Two

JORGE MONTERO
VICE PRESIDENT
336 SW 1ST ST APT 5
POMPANO BEACH FL 33060

Officer/Director/Trustee Three

KIMBERLY NORDHEIM
SECRETARY
1120 CYPRESS WAY
BOCA RATON FL 33486

Officer/Director/Trustee Four

PEER SNOEP
TREASURER
730 NE 2ND ST
BOCA RATON FL 33432

Officer/Director/Trustee Five

MARCO BARRERA
DIRECTOR
971 BRIARWOOD DR
HAVERHILL FL 33414

Organization’s website www.fecwp.com
Organization’s email pbunitedwpc@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/2019
Organization Incorporation State FL
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KURT PREDMORE
Signature Title PRESIDENT
Signature Date 11/18/2020

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