FORM 1023-EZ for WISCONSIN TRIPLE THREAT

Field Data
EIN 81-5323522
Case Number EO-2017046-000067
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WISCONSIN TRIPLE THREAT
Organization’s Mailing Address 2408 RED ARROW TRAIL
City FITCHBURG
State WI
ZIP 53711
Accounting period End 8
Primary contact name RICHARD L JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTONIO HOYE
PRESIDENT
2408 RED ARROW TRAIL
FITCHBURG WI 53711

Officer/Director/Trustee Two

RICHARD JONES
VICE PRESIDENT
3832 DOLPHIN DRIVE
MADISON WI 53719

Officer/Director/Trustee Three

HEATHER STAPELMANN
SECRETARY
726 BERGEN STREET
MADISON WI 53714

Officer/Director/Trustee Four

INA BEVERLY
TREASURER
17 RIDGEVIEW COURT APT6
MADISON WI 53704

Officer/Director/Trustee Five

JENNIFER HUGHES
BOARD MEMBER
2234 LUANN LANE APT 201
MADISON WI 53713

Organization’s website
Organization’s email WISCONSINTRIPLETHREAT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/2015
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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
Signature Title
Signature Date

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