FORM 1023-EZ for LODI VOLLEYBALL CLUB INC

Field Data
EIN 81-5293450
Case Number EO-2020066-000350
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LODI VOLLEYBALL CLUB INC
Organization’s Mailing Address 651 SUNRISE DRIVE
City LODI
State WI
ZIP 53555
Accounting period End 12
Primary contact name AMY KLANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY EDGE
PRESIDENT
404 SOUTH STREET
DANE WI 53529

Officer/Director/Trustee Two

AMY KLANN
TREAURER
651 SUNRISE DRIVE
LODI WI 53555

Officer/Director/Trustee Three

CRICKET HESSELBERG
VICE PRESIDENT
W11038 DEER RUN DRIVE
LODI WI 53555

Officer/Director/Trustee Four

AUDREY PARPART
SECRETARY
W11109 LAKE VIEW DRIVE
LODI WI 53555

Officer/Director/Trustee Five

ADAORA BILSE
DIRECTOR
W11027 DEER RUN DRIVE
LODI WI 53555

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2017
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: Yes
Religious: No
Educational: Yes
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 Yes
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 AMY KLANN
Signature Title TREAURER
Signature Date 3/4/2020

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