FORM 1023-EZ for DELAVAN LAKERS

Field Data
EIN 84-5010576
Case Number EO-2020069-000509
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DELAVAN LAKERS
Organization’s Mailing Address 3280 SOUTH COUNTY RD O
City DELAVAN
State WI
ZIP 53115
Accounting period End 12
Primary contact name RUBEN RENDON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREG NICHOLS
VP
N4070 WESTWOOD DR
DELAVAN WI 53115

Officer/Director/Trustee Two

JULI HEINDSELMAN
TRESURER/SECRETARY
N4242 KLUG RD
DELAVAN WI 53115

Officer/Director/Trustee Three

RUBEN RENDON
PRESIDENT
3280 SOUTH COUNTY RD O
DELAVAN WI 53115

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 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 RUBEN RENDON
Signature Title PRESIDENT
Signature Date 3/6/2020

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