FORM 1023-EZ for BURLINGTON VIPERS BASEBALL

Field Data
EIN 45-4845945
Case Number EO-2016043-000110
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BURLINGTON VIPERS BASEBALL
Organization’s Mailing Address 11475 PLANK RD
City BURLINGTON
State IA
ZIP 52601
Accounting period End 12
Primary contact name DUSTAN FENTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DUSTAN FENTON
PRESIDENT
11475 PLANK RD
BURLINGTON IA 52601

Officer/Director/Trustee Two

MORGAN ANDERSON
VICE PRESIDENT
202 N NORTHFIELD
MEDIAPOLIS IA 52637

Officer/Director/Trustee Three

MIKKI WHITAKER
TREASURER
15164 MEDIAPOLIS RD
MEDIAPOLIS IA 52637

Officer/Director/Trustee Four

MANDI SPENCER
SECRETARY
412 GUNNISON
BURLINGTON IA 52601

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/2012
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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