FORM 1023-EZ for PELICAN STATE VOLLEYBALL CLUB

Field Data
EIN 81-4192753
Case Number EO-2017033-000230
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PELICAN STATE VOLLEYBALL CLUB
Organization’s Mailing Address 6411 FONTAINBLEAU DRIVE
City NEW ORLEANS
State LA
ZIP 70125
Accounting period End 10
Primary contact name ANDREA KUTCHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA KUTCHER
CLUB DIRECTOR
6862 LOUISVILLE STREET
NEW ORLEANS LA 70124

Officer/Director/Trustee Two

JESSICA KUTCHER
CLUB COACH
6864 LOUISVILLE STREET
NEW ORLEANS LA 70124

Organization’s website
Organization’s email PELICANSTATEVOLLEYBALLCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/14/2016
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 Yes
Donation of funds Yes
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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