FORM 1023-EZ for LITCHFIELD VOLLEYBALL ASSOCIATION

Field Data
EIN 32-0377702
Case Number EO-2017030-000556
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LITCHFIELD VOLLEYBALL ASSOCIATION
Organization’s Mailing Address 702 S CHANDLER AVENUE
City LITCHFIELD
State MN
ZIP 55355
Accounting period End 12
Primary contact name SARA HOLMGREN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE LARSON
PRESIDENT
801 AMES AVENUE
LITCHFIELD MN 55355

Officer/Director/Trustee Two

JANE WAGNER
VICE PRESIDENT
606 NORTHRIDGE DR
LITCHFIELD MN 55355

Officer/Director/Trustee Three

SARA HOLMGREN
TREASURER
702 S CHANDLER
LITCHFIELD MN 55355

Officer/Director/Trustee Four

MANDY NELSON
SECRETARY
66010 295TH ST
LITCHFIELD MN 55355

Organization’s website
Organization’s email LITCHFIELDJOVB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/2012
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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