FORM 1023-EZ for DCG VOLLEYBALL CLUB

Field Data
EIN 85-3073621
Case Number EO-2021064-001825
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DCG VOLLEYBALL CLUB
Organization’s Mailing Address 301 SOUTHWEST KENNYBROOK DRIVE
City GRIMES
State IA
ZIP 50111
Accounting period End 12
Primary contact name MELISSA E JANSSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA JANSSEN
TREASURER
301 SOUTHWEST KENNYBROOK DRIVE
GRIMES IA 50111

Officer/Director/Trustee Two

MEG JACKSON
PRESIDENT
1305 SW 6TH STREET
GRIMES IA 50111

Officer/Director/Trustee Three

STEPHANIE JONES
SECRETARY
2506 NE CHEVALIA COURT
GRIMES IA 50111

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2020
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: Yes
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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MELISSA JANSSEN
Signature Title TREASURER
Signature Date 1/13/2021

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