FORM 1023-EZ for WISCONSIN DELLS YOUTH BASKETBALL INC

Field Data
EIN 82-4135253
Case Number EO-2018332-000187
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WISCONSIN DELLS YOUTH BASKETBALL INC
Organization’s Mailing Address 1400 PINE COURT
City WISCONSIN DELLS
State WI
ZIP 53965
Accounting period End 12
Primary contact name SCOTT ROCKWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER NEVAR
PRESIDENT
1400 PINE COURT
WISCONSIN DELLS WI 53965

Officer/Director/Trustee Two

THAD MEISTER
VICE-PRESIDENT
1400 PINE COURT
WISCONSIN DELLS WI 53965

Officer/Director/Trustee Three

TARA ANCHOR
TREASURER
1400 PINE COURT
WISCONSIN DELLS WI 53965

Officer/Director/Trustee Four

JARA MACHOVEC
SECRETARY
1400 PINE COURT
WISCONSIN DELLS WI 53965

Officer/Director/Trustee Five

SCOTT ROCKWELL
DIRECTOR
1400 PINE COURT
WISCONSIN DELLS WI 53965

Organization’s website WWW.DELLSCLUBHOOPS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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 SCOTT ROCKWELL
Signature Title DIRECTOR
Signature Date 11/26/18

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