FORM 1023-EZ for WESTERN DUBUQUE YOUTH BASEBALL SOFTBALL

Field Data
EIN 84-3926462
Case Number EO-2020008-000218
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WESTERN DUBUQUE YOUTH BASEBALL SOFTBALL
Organization’s Mailing Address 406 SOUTH LAKE DRIVE
City FARLEY
State IA
ZIP 52046
Accounting period End 12
Primary contact name KARI KROGMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KARI KROGMAN
OFFICER
406 SOUTH LAKE DR
FARLEY IA 52046

Officer/Director/Trustee Two

JENNY BRYANT
OFFICER
711 AMARA CT
PEOSTA IA 52068

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/2019
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 KARI KROGMAN
Signature Title OFFICER
Signature Date 1/6/2020

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