FORM 1023-EZ for VELVA WILDLIFE CLUB
| Field | Data |
|---|---|
| EIN | 81-2881477 |
| Case Number | EO-2016196-000372 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | VELVA WILDLIFE CLUB |
| Organization’s Mailing Address | 4320 TRAPPERS LANE 17 |
| City | VELVA |
| State | ND |
| ZIP | 58790-7012 |
| Accounting period End | 12 |
| Primary contact name | TRAVIS J LEIER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TRAVIS LEIER
PRESIDENT
4320 TRAPPERS LANE 17
VELVA ND 58790-7012
Officer/Director/Trustee Two
LARRY TURNER
VICE PRESIDENT
1522 HIGHWAY 97
VELVA ND 58790-9157
Officer/Director/Trustee Three
DORSEL RANDOLPH
TREASURER
4562 VALLEY ROAD
VELVA ND 58790-9010
Officer/Director/Trustee Four
DAVID SCHOCK
SECRETARY
105 CARMEL COURT
VELVA ND 58790-7415
Officer/Director/Trustee Five
RICHARD ERICKSON
DIRECTOR AT LARGE
109 10TH ST
VELVA ND 58790-7058
| Organization’s website | |
|---|---|
| Organization’s email | VELVAWILDLIFECLUB@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/25/2016 |
| Organization Incorporation State | ND |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N61 - Fishing, Hunting Clubs |
| 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 | Yes |
| 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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