FORM 1023-EZ for RACINE YACHT CLUB YOUTH FOUNDATION

Field Data
EIN 81-1969482
Case Number EO-2016272-000376
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RACINE YACHT CLUB YOUTH FOUNDATION
Organization’s Mailing Address 1 BARKER ST
City RACINE
State WI
ZIP 53402
Accounting period End 12
Primary contact name BOB SAMPLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BOB SAMPLE
CHIEF OPERATING OFFICER
610 WEST MAIN ST
WEST DUNDEE IL 60118

Officer/Director/Trustee Two

EDGAR HOFFMAN
TREASURER
1808 WISCONSIN AVE
RACINE WI 53403

Officer/Director/Trustee Three

ANTHONY KARWOWSKI
SECRETARY
4821 NORTHWESTERN AVE
RACINE WI 53406

Officer/Director/Trustee Four

AMY CERMACK
EXECTIVE DIRECTOR
1 NORTH VINCENNES CIRCLE
RACINE WI 53402

Officer/Director/Trustee Five

RICHARD HENNING
EXECUTIVE DIRECTOR
88 NORTH VINCENNES CIRCLE
RACINE WI 53403

Organization’s website N/A
Organization’s email OFFICE@RACINEYACHTCLUB.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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
Signature Title
Signature Date

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