FORM 1023-EZ for CSI SWIM INC

Field Data
EIN 81-3562200
Case Number EO-2019238-000373
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CSI SWIM INC
Organization’s Mailing Address 1 EAGLE VALLEY CT
City BROADVIEW HEIGHTS
State OH
ZIP 44147-2982
Accounting period End 12
Primary contact name MARK WACHTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK JANACK
TRUSTEE
6701 ROCKSIDE RD
INDEPENDENCE OH 44131-2316

Officer/Director/Trustee Two

DALE PAPAJCIK
TRUSTEE
309 YARMOUTH RD
AKRON OH 44313-4554

Officer/Director/Trustee Three

RIP ESSELSTYN
TRUSTEE
5336 MAGDELENA DR
AUSTIN TX 78735-6378

Officer/Director/Trustee Four

MARY LEKAS
TRUSTEE
6701 ROCKSIDE RD
INDEPENDENCE OH 44131-2316

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/16
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: 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARY LEKAS
Signature Title TRUSTEE
Signature Date 8/22/19

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