FORM 1023-EZ for UNIVERSITY OF WISCONSIN-STOUT WOMENS CLUB VOLLEYBALL

Field Data
EIN 83-1760788
Case Number EO-2018247-000518
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNIVERSITY OF WISCONSIN-STOUT WOMENS CLUB VOLLEYBALL
Organization’s Mailing Address 220 13TH AVE EAST
City MENOMONIE
State WI
ZIP 54751
Accounting period End 12
Primary contact name JACOB P MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACOB MARTIN
DIRECTOR
2917 EDGEWOOD DR UNIT 4
MENOMONIE WI 54751

Officer/Director/Trustee Two

SCOTT BERG
VICE PRESIDENT
220 13TH AVE EAST
MENOMONIE WI 54751

Officer/Director/Trustee Three

OLIVIA BURGHARDT
OFFICER
1515 6TH ST E
MENOMONIE WI 54751

Officer/Director/Trustee Four

TAYLOR KIRSCH
TRUSTEE
W4115 HWY 97
EDGAR WI 54426

Officer/Director/Trustee Five

EVAN MENKE
TREASURER
72525 243RD ST
DASSEL MN 55325

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 JACOB MARTIN
Signature Title DIRECTOR
Signature Date 8/30/18

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