FORM 1023-EZ for MOLINE BLUE MARLINS SWIM ASSOCIATION

Field Data
EIN 81-3826991
Case Number EO-2019326-000317
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOLINE BLUE MARLINS SWIM ASSOCIATION
Organization’s Mailing Address PO BOX 283
City MOLINE
State IL
ZIP 61266-283
Accounting period End 12
Primary contact name SARAH AINSWORTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRAM GUSTAFSON
PRESIDENT
12126 93RD AVE CT
COAL VALLEY IL 61240

Officer/Director/Trustee Two

LEE FIXEN
VICE PRESIDENT
500 E 14TH AVE CT
COAL VALLEY IL 61240

Officer/Director/Trustee Three

SARAH AINSWORTH
TREASURER
2538 29TH ST
MOLINE IL 61265

Officer/Director/Trustee Four

KRISTA WYFFELS
SECRETARY
606 E 7TH AVE
COAL VALLEY IL 61240

Organization’s website WWW.TEAMUNIFY.COM/ILMBM
Organization’s email MOLINEBLUEMARLINS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
Organization Incorporation State IL
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: 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 SARAH AINSWORTH
Signature Title TREASURER
Signature Date 11/20/19

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