FORM 1023-EZ for PENGUIN SWIM CLUB

Field Data
EIN 87-1161952
Case Number EO-2021188-000129
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PENGUIN SWIM CLUB
Organization’s Mailing Address 210 MILL STREET
City NEVADA CITY
State CA
ZIP 95959-2419
Accounting period End 12
Primary contact name JULIE GRIFFITH-FLATTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIE GRIFFITH-FLATTER
PRESIDENT
210 MILL STREET
NEVADA CITY CA 95959-2419

Officer/Director/Trustee Two

JEANNE MICHAEL
TREASURER
12917 LEE LANE
NEVADA CITY CA 95959-8947

Officer/Director/Trustee Three

THOMAS STONE
VICE PRESIDENT
10443 W PIPER LANE
NEVADA CITY CA 95959-8709

Officer/Director/Trustee Four

GREGORY DE YOUNG
SECRETARY
545 JORDAN STREET
NEVADA CITY CA 95959-2717

Officer/Director/Trustee Five

ABRAHAM ABT
AT LARGE
247 HORIZON CIRCLE
GRASS VALLEY CA 95945-9712

Organization’s website
Organization’s email PENGUINSWIMMASTERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/2021
Organization Incorporation State CA
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: 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 No
Correctness Declaration Yes
Signature Name JULIE GRIFFITH-FLATTER
Signature Title PRESIDENT
Signature Date 7/5/2021

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