FORM 1023-EZ for USASA MIDWEST BEST SERIES INC

Field Data
EIN 84-3251509
Case Number EO-2019298-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name USASA MIDWEST BEST SERIES INC
Organization’s Mailing Address 1608 ANTHONY LANE
City MCHENRY
State IL
ZIP 60051
Accounting period End 12
Primary contact name DANA WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANA WILSON
DIRECTOR
1608 ANTHONY LANE
MCHENRY IL 60651

Officer/Director/Trustee Two

DANA WILSON
TRESURER
1608 ANTHONY LANE
MCHENRY IL 60651

Officer/Director/Trustee Three

DANA WILSON
CHAIRPERSON
1608 ANTHONY LANE
MCHENRY IL 60651

Officer/Director/Trustee Four

BRITTANY KUGATH
VOTING MEMBER
582 CEDAR BLUFFS
SLINGER WI 53086

Officer/Director/Trustee Five

BRIAN WILSON
VOTING MEMBER
1608 ANTHONY LANE
MCHENRY IL 60651

Organization’s website
Organization’s email DANA@MIDWESTBEST.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2019
Organization Incorporation State IL
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: Yes
Religious: No
Educational: No
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DANA WILSON
Signature Title CHAIRPERSON
Signature Date 10/23/2019

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