FORM 1023-EZ for HURRICANE HOCKEY CLUB

Field Data
EIN 47-1035215
Case Number EO-2015159-000362
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HURRICANE HOCKEY CLUB
Organization’s Mailing Address 11259N STATE RD 77
City HAYWARD
State WI
ZIP 54843
Accounting period End 12
Primary contact name SARAH JUNGBLUTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SARAH JUNGBLUTH
PRESIDENT
11259N STATE RD 77
HAYWARD WI 54843

Officer/Director/Trustee Two

RICK WOLFE
VICE PRESIDENT
W332 COUNTY RD B
STONE LAKE WI 54876

Officer/Director/Trustee Three

JERRY THOMAS
TREASURER
12651 N HWY 63
HAYWARD WI 54843

Officer/Director/Trustee Four

KELLY STRAPON
SECRETARY
11908 N HWY 63
HAYWARD WI 54843

Organization’s website
Organization’s email info@haywardhhc.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/2014
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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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