FORM 1023-EZ for AMES PICKLEBALL CLUB INC

Field Data
EIN 86-1760211
Case Number EO-2021244-000289
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMES PICKLEBALL CLUB INC
Organization’s Mailing Address PO BOX 847
City AMES
State IA
ZIP 50010
Accounting period End 12
Primary contact name NICOLE FACIO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE FACIO
PRESIDENT
610 GARNET DRIVE
AMES IA 50010

Officer/Director/Trustee Two

KRISTINE WILSON
TREASURER
PO BOX 1403
AMES IA 50010

Officer/Director/Trustee Three

KAREN WALINE
VICE PRESIDENT
1056 FORTY OAKS DRIVE
STORY CITY IA 50248

Officer/Director/Trustee Four

BECKY SHOENROCK
SECRETARY
2605 CLEVELAND DRIVE
AMES IA 50010

Officer/Director/Trustee Five

NICK ZIKA
DIRECTOR
2025 JASHALITA DRIVE
NEVADA IA 50201

Organization’s website AMESPICKLEBALL.COM
Organization’s email AMESPICKLECLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/2020
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 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 No
Signature Name NICOLE FACIO
Signature Title PRESIDENT
Signature Date 8/30/2021

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