FORM 1023-EZ for MOOSE SWIMMING DIVING ASSOCIATION

Field Data
EIN 92-0165840
Case Number EO-2014240-000500
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOOSE SWIMMING DIVING ASSOCIATION
Organization’s Mailing Address 5075 N CAPRICE DRIVE
City PALMER
State AK
ZIP 99645
Accounting period End 12
Primary contact name SHANAE BRANHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHANAE BRANHAM
PRESIDENT
5075 NORTH CAPRICE DRIVE
PALMER AK 99645

Officer/Director/Trustee Two

MICHELLE MUNRO
TREASURER
PO BOX 510
PALMER AK 99645

Officer/Director/Trustee Three

HEATHER SNELDERS
VICE PRESIDENT
PO BOX 4068
PALMER AK 99645

Officer/Director/Trustee Four

SHARON LASALLE
SECRETARY
PO BOX 90
PALMER AK 99645

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/11/1998
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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