FORM 1023-EZ for CUMBERLAND YOUTH VOLLEYBALL ASSOCIATION

Field Data
EIN 81-5306440
Case Number EO-2018320-000170
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CUMBERLAND YOUTH VOLLEYBALL ASSOCIATION
Organization’s Mailing Address 1010 8TH AVENUE
City CUMBERLAND
State WI
ZIP 54829
Accounting period End 12
Primary contact name JESSICA OLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BJ BRENNA
PRESIDENT
1110 SEVENTH AVENUE
CUMBERLAND WI 54829

Officer/Director/Trustee Two

CHRISTY TALBOT
VICE PRESIDENT
800 8TH AVENUE
CUMBERLAND WI 54829

Officer/Director/Trustee Three

TERI LESNAR
SECRETARY
980 8TH AVENUE
CUMBERLAND WI 54829

Officer/Director/Trustee Four

BETH MCCLAIN
TREASURER
1390 SECOND AVENUE
CUMBERLAND WI 54829

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/17
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHRISTY TALBOT
Signature Title VICE PRESIDENT
Signature Date 11/14/18

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