FORM 1023-EZ for ELITE VOLLEYBALL ACADEMY

Field Data
EIN 82-5412831
Case Number EO-2019260-000197
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELITE VOLLEYBALL ACADEMY
Organization’s Mailing Address 725 NW KINGWOOD AVE
City REDMOND
State OR
ZIP 97756
Accounting period End 12
Primary contact name VICKI BENNETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VICKI BENNETT
DIRECTOR/OFFICER
725 NW KINGWOOD AVE
REDMOND OR 97756

Officer/Director/Trustee Two

MICHELLE ANDERSON
DIRECTOR
PO BOX 7818
BEND OR 97708

Officer/Director/Trustee Three

MANDI MCQUOWN
DIRECTOR
725 NW KINGWOOD AVE
REDMOND OR 97756

Officer/Director/Trustee Four

TRAVIS BENNETT
DIRECTOR
5400 NW COYNER AVE
REDMOND OR 97756

Organization’s website ELITEVOLLEYBALLACADEMY.NET
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/18
Organization Incorporation State OR
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: 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 MICHELLE ANDERSON
Signature Title DIRECTOR
Signature Date 9/15/19

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