FORM 1023-EZ for WESTOSHA FALCON YOUTH FOOTBALL

Field Data
EIN 47-3371727
Case Number EO-2018331-000098
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WESTOSHA FALCON YOUTH FOOTBALL
Organization’s Mailing Address 24617 75TH ST
City SALEM
State WI
ZIP 53168
Accounting period End 12
Primary contact name VICTOR NIGHTINGALE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VICTOR NIGHTINGALE
COMMISSIONER
7205148TH AVE
KENOSHA WI 53142

Officer/Director/Trustee Two

LISA ANN NIGHTINGALE
BOARD MEMBER ONE
7205 148TH AVE
KENOSHA WI 53142

Officer/Director/Trustee Three

ANTHONY SIPPY
BOARD MEMBER TWO
6800 243RD AVE
SALEM WI 53168

Officer/Director/Trustee Four

BETH LABELL
BOARD MEMBER THREE
14155 12TH ST
KENOSHA WI 53144

Officer/Director/Trustee Five

JON LINDH
BORAD MEMBER FOUR
24617 75TH ST
SALEM WI 53168

Organization’s website WWW.WESTOSHAFOOTBALL.ORG
Organization’s email WESTOSHAYOUTHFOOTBALL@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/14
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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 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 VICTOR NIGHTINGALE
Signature Title COMMISSIONER
Signature Date 11/25/18

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