FORM 1023-EZ for DREAM BIG ADAPTIVE WATERSPORTS

Field Data
EIN 46-5457078
Case Number EO-2014349-000190
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DREAM BIG ADAPTIVE WATERSPORTS
Organization’s Mailing Address 618 DIKE RD
City GRAND JUNCTION
State CO
ZIP 81507-2706
Accounting period End 12
Primary contact name WANDA BRYAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WAYMAN BRYAN
PRESIDENT
618 DIKE RD
GRAND JUNCTION CO 81507-2706

Officer/Director/Trustee Two

RON JENS
VICE PRESIDENT
2028 STETSON CT
GRAND JUNCTION CO 81507-2706

Officer/Director/Trustee Three

WANDA BRYAN
SECRETARY/TREASURER
618 DIKE RD
GRAND JUNCTION CO 81507-2706

Officer/Director/Trustee Four

JOHN HAGER
DIRECTOR
2091 S BROADWAY
GRAND JUNCTION CO 81507-2706

Organization’s website N/A
Organization’s email DBADAPTIVEWATERSPORTS@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2014
Organization Incorporation State CO
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: No
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
Signature Title
Signature Date

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