FORM 1023-EZ for MJV-HEO SPORTS

Field Data
EIN 83-3584445
Case Number EO-2019058-000253
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MJV-HEO SPORTS
Organization’s Mailing Address 57 CRISSEY LANE
City SOUTHINGTON
State CT
ZIP 6489
Accounting period End 12
Primary contact name DAVID BAHLINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID BAHLINGER
PRESIDENT
57 CRISSEY LANE
SOUTHINGTON CT 6489

Officer/Director/Trustee Two

CHARLIE LEHNER
VICE PRESIDENT
62 CRISSEY LANE
SOUTHINGTON CT 6489

Officer/Director/Trustee Three

DIANA DUMOUCHEL
TREASURER
57 CRISSEY LANE
SOUTHINGTON CT 6489

Organization’s website
Organization’s email DBAHL9ER@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/19
Organization Incorporation State CT
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: 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAVID BAHLINGER
Signature Title PRESIDENT
Signature Date 2/25/19

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