FORM 1023-EZ for OCONOMOWOC JUNIOR RACCOONS VOLLEYBALL INC

Field Data
EIN 85-1737133
Case Number EO-2020188-000840
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OCONOMOWOC JUNIOR RACCOONS VOLLEYBALL INC
Organization’s Mailing Address W393N5888 MARY LANE
City OCONOMOWOC
State WI
ZIP 53066
Accounting period End 6
Primary contact name LISA HAYES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY KWIATKOWSKI
PRESIDENT
807 DANTE DRIVE
OCONOMOWOC WI 53066

Officer/Director/Trustee Two

GARY PERRAULT
VICE PRESIDENT
320 LAC LA BELLE DRIVE
OCONOMOWOC WI 53066

Officer/Director/Trustee Three

LISA HAYES
TREASURER
W393N5888 MARY LANE
OCONOMOWOC WI 53066

Officer/Director/Trustee Four

NICOLE BJORK
SECRETARY
2185 NORTH WATERSTONE CIRCLE
OCONOMOWOC WI 53066

Officer/Director/Trustee Five

MICHELLE BRUSS
AT LARGE BOARD MEMBER
1148 MAJESTIC VIEW LANE
OCONOMOWOC WI 53066

Organization’s website HTTPS://WWW.JRRACCOONS.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 No
Correctness Declaration Yes
Signature Name LISA HAYES
Signature Title TREASURER
Signature Date 7/3/2020

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