FORM 1023-EZ for MT HOREB BASKETBALL CLUB INC

Field Data
EIN 26-4276668
Case Number EO-2014252-000096
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MT HOREB BASKETBALL CLUB INC
Organization’s Mailing Address 104 AGNES COURT
City MT HOREB
State WI
ZIP 53572
Accounting period End 6
Primary contact name DEAN T STANGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SEAN JOHNSON
PRESIDENT
148 VALLEY VIEW ROAD
MT HOREB WI 53572

Officer/Director/Trustee Two

PAT BAIER
VICE PRESIDENT
1608 EGGUM COURT
MT HOREB WI 53572

Officer/Director/Trustee Three

DEAN STANGE
TREASURER
104 AGNES COURT
MT HOREB WI 53572

Officer/Director/Trustee Four

KELLLY RICHARDSON
SECRETARY
405 SPELLMAN STREET
MT HOREB WI 53572

Organization’s website WWW.MHBASKETBALL.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2009
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: Yes
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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