FORM 1023-EZ for PRAIRIE DU CHIEN FOOTBALL CLUB

Field Data
EIN 82-1654147
Case Number EO-2020037-000335
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PRAIRIE DU CHIEN FOOTBALL CLUB
Organization’s Mailing Address 1901 EAST WELLS STREET
City PRAIRIE DU CHIEN
State WI
ZIP 53821-2381
Accounting period End 12
Primary contact name JUSTIN CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAAREN RIEBE
PRESIDENT
1901 EAST WELLS STREET
PRAIRIE DU CHIEN WI 53821-2381

Officer/Director/Trustee Two

KEVIN CAMPBELL
VICE PRESIDENT
1901 EAST WELLS STREET
PRAIRIE DU CHIEN WI 53821-2381

Officer/Director/Trustee Three

KEN QUICK
SECRETARY
1901 EAST WELLS STREET
PRAIRIE DU CHIEN WI 53821-2381

Officer/Director/Trustee Four

JUSTIN CAMPBELL
TREASURER
1901 EAST WELLS STREET
PRAIRIE DU CHIEN WI 53821-2381

Organization’s website
Organization’s email PDCFOOTBALLCLUB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
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 JUSTIN CAMPBELL
Signature Title TREASURER
Signature Date 2/4/2020

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