FORM 1023-EZ for BLAZIN ARROWS SCHOLASTIC 3D ARCHERYCLUB INC

Field Data
EIN 81-2994137
Case Number EO-2018128-000842
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLAZIN ARROWS SCHOLASTIC 3D ARCHERYCLUB INC
Organization’s Mailing Address W5964 EASTER LILY DRIVE
City APPLETON
State WI
ZIP 54915
Accounting period End 6
Primary contact name ANDY T COON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT FUCHS
PRESIDENT, DIRECTOR
670 ELDERBERRY LANE
KAUKAUNA WI 54130

Officer/Director/Trustee Two

ANDY COON
TREASURER, DIRECTOR
W5964 EASTER LILY DRIVE
APPLETON WI 54915

Officer/Director/Trustee Three

ROBERT YOUNG
VICE PRESIDENT, DIRECTOR
1935 S BEHM COURT
APPLETON WI 54914

Officer/Director/Trustee Four

ROSE FOX
SECRETARY
N973 SPRING VALLEY DRIVE
HORTONVILLE WI 54944

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/10/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANDY COON
Signature Title TREASURER, DIRECTOR
Signature Date 5/2/18

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