FORM 1023-EZ for MIDWEST ICE HOCKEY

Field Data
EIN 84-5044865
Case Number EO-2020273-000587
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIDWEST ICE HOCKEY
Organization’s Mailing Address 879 WOODSTOCK LANE
City PULASKI
State WI
ZIP 54162
Accounting period End 12
Primary contact name NICHOLE KORTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN PINTAR
PRESIDENT
1222 TRAILSIDE TERRACE
SEYMOUR WI 54165

Officer/Director/Trustee Two

JENNIFER PINTAR
VICE PRESIDENT
1222 TRAILSIDE TERRACE
SEYMOUR WI 54165

Officer/Director/Trustee Three

NICHOLE KORTH
SECRETARY/TREASURER
879 WOODSTOCK LANE
PULASKI WI 54162

Organization’s website
Organization’s email MIDWESTICEHOCKEY@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NICHOLE KORTH
Signature Title SECRETARY/TREASURER
Signature Date 9/24/2020

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