FORM 1023-EZ for DEFOREST AREA YOUTH BOYS BASKETBALLCLUB INC

Field Data
EIN 87-2122423
Case Number EO-2021238-000299
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DEFOREST AREA YOUTH BOYS BASKETBALLCLUB INC
Organization’s Mailing Address 4413 SNOWY RIDGE TR
City WINDSOR
State WI
ZIP 53598
Accounting period End 12
Primary contact name GEOFF LORENZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTI PASKEY
PRESIDENT
4413 SNOWY RIDGE TRL
WINDSOR WI 53598

Officer/Director/Trustee Two

JERRY PRITZL
VICE PRESIDENT
4380 VAN WINKLE WAY
DEFOREST WI 53532

Officer/Director/Trustee Three

MARIA ACCUARDI
SECRETARY
6441 FOREST PARK DRIVE
DEFOREST WI 53532

Officer/Director/Trustee Four

MICHAEL LAVOLD
TREASURER
4406 MEMORIAL CIRCLE
WINDSOR WI 53598

Officer/Director/Trustee Five

LISA JOHNSEN
DIRECTOR
6469 FOREST PARK DRIVE
DEFOREST WI 53532

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2021
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: 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 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 KRISTI PASKEY
Signature Title PRESIDENT
Signature Date 8/24/2021

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