FORM 1023-EZ for ARLINGTON PARK SWIM AND DIVE
| Field | Data |
|---|---|
| EIN | 82-3894474 |
| Case Number | EO-2018190-000357 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ARLINGTON PARK SWIM AND DIVE |
| Organization’s Mailing Address | 4630 W ARLINGTON PARK BLVD |
| City | FORT WAYNE |
| State | IN |
| ZIP | 46835 |
| Accounting period End | 12 |
| Primary contact name | BROOKE BLACKMAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BROOKE BLACKMAN
PRESIDENT
5328 W ARLINGTON PARK BLVD
FORT WAYNE IN 46835
Officer/Director/Trustee Two
DOUG PICKETT
TREASURER
5514 TRISHLYN COVE
FORT WAYNE IN 46835
Officer/Director/Trustee Three
REBEKAH HUBLEY
VICE PRESIDENT
6915 MOWHAWK DR
FORT WAYNE IN 46835
Officer/Director/Trustee Four
BOB BERGERON
SECRETARY
4802 CRAWFORD RD
FORT WAYNE IN 46845
Officer/Director/Trustee Five
JOE TRENT
SWIM LIASON
4921 OAK CREEK CT
FORT WAYNE IN 46835
| Organization’s website | APSWIMANDDIVE.COM |
|---|---|
| Organization’s email | APSWIMANDDIVE@YAHOO.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/1/18 |
| Organization Incorporation State | IN |
| 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 | BROOKE BLACKMAN |
| Signature Title | PRESIDENT |
| Signature Date | 7/5/18 |
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