FORM 1023-EZ for CARROLL PICKLEBALL ASSOCIATION

Field Data
EIN 83-2128269
Case Number EO-2018290-000384
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARROLL PICKLEBALL ASSOCIATION
Organization’s Mailing Address PO BOX 61
City CARROLL
State IA
ZIP 51401
Accounting period End 6
Primary contact name FRANK J COMITO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD HARTLEY
PRESIDENT
1038 MONTEREY DR
CARROLL IA 51401

Officer/Director/Trustee Two

KELLY SHUBERT
SECRETARY
1921 JOAN AVE
CARROLL IA 51401

Officer/Director/Trustee Three

MARY JO STEINKAMP
TREASURER
453 DEER CREEK LANE
CARROLL IA 51401

Officer/Director/Trustee Four

MARCIA TIEFENTHALER
VICE PRESIDENT
2033 NORTH GRANT ROAD NO 17
CARROLL IA 51401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/18
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N66 - Tennis, Racquet Sports 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 RICHARD HARTLEY
Signature Title PRESIDENT
Signature Date 10/15/18

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