FORM 1023-EZ for FREEDOM SWIM INC

Field Data
EIN 84-3102499
Case Number EO-2019266-000342
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FREEDOM SWIM INC
Organization’s Mailing Address 4700
City MIDDLETON
State WI
ZIP 53562
Accounting period End 12
Primary contact name DAVID BLUST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID BLUST
OFFICER
4700 BERGAMOT WAY
MIDDLETON WI 53562

Officer/Director/Trustee Two

ELLEN BLUST
OFFICER
4700 BERGAMOT WAY
MIDDLETON WI 53562

Officer/Director/Trustee Three

CATHERINE OLSON
OFFICER
7487 INDIGO CIRCLE
MIDDLETON WI 53562

Officer/Director/Trustee Four

STEPHANY MOONEY
OFFICER
26 STAR FIRE CT
MADISON WI 53719

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/19
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q01 - Alliance/Advocacy Organizations
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 DAVID BLUST
Signature Title OFFICER
Signature Date 9/19/19

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