FORM 1023-EZ for BLUE TEAM VOLLEYBALL

Field Data
EIN 47-5524565
Case Number EO-2021116-000263
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUE TEAM VOLLEYBALL
Organization’s Mailing Address 710 SPRING BROOK DR
City WINONA
State MN
ZIP 55987
Accounting period End 12
Primary contact name HALEY CURTIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA MOECKLY
OFFICER
710 SPRING BROOK DR
WINONA MN 55987

Officer/Director/Trustee Two

LAURIE BROGHAMMER
OFFICER
73 WILDRIDGE DR
WINONA MN 55987

Officer/Director/Trustee Three

HALEY CURTIS
DIRECTOR
N12092 HUNTER LN
TREMPEALEAU WI 54661

Organization’s website
Organization’s email HCURTIS@RTPCOMPANY.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/2015
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics 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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HALEY CURTIS
Signature Title DIRECTOR
Signature Date 4/22/2021

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