FORM 1023-EZ for NATIONAL HOMESCHOOL SPORTS CHAMPIONSHIPS INC

Field Data
EIN 81-4177980
Case Number EO-2016298-000475
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NATIONAL HOMESCHOOL SPORTS CHAMPIONSHIPS INC
Organization’s Mailing Address W268 N7189 THOUSAND OAKS DRIVE
City LISBON
State WI
ZIP 53089
Accounting period End 12
Primary contact name JOHN R WALLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK SCHLATTER
PRESIDENT
HOSLER ROAD PO BOX 93
LEO IN 46765

Officer/Director/Trustee Two

MARK BOHLMAN
SECRETARY-TREASURER
8133 CRESTVIEW AVE
JENISON MI 49428

Officer/Director/Trustee Three

JOHN WALLEN
CHAIRMAN
W268 N7189 THOUSAND OAKS DRIVE
LISBON WI 53089

Officer/Director/Trustee Four

PAUL ZILKA
VICE-CHAIRMAN
6611 KNOX AVE SO
RICHFIELD MN 55423

Officer/Director/Trustee Five

TIMOTHY HUGGINS
VICE-PRESIDENT
257 KIMBROUGH DRIVE
GREENWOOD IN 46143

Organization’s website HTTP://WWW.NATIONALHOMESCHOOLSOCCERCHAMPIONSHIP.COM/
Organization’s email JWALLEN@WI.RR.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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
Signature Title
Signature Date

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