FORM 1023-EZ for USA PICKLEBALL HALL OF FAME INC

Field Data
EIN 86-1210532
Case Number EO-2021064-000858
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name USA PICKLEBALL HALL OF FAME INC
Organization’s Mailing Address 18371 N BORGATA DRIVE
City SURPRISE
State AZ
ZIP 85374-8577
Accounting period End 12
Primary contact name KEITH WOLVERTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH WOLVERTON
CHAIR
276 GREENTREE LANE
ADA MI 49301-9708

Officer/Director/Trustee Two

RANDY STAFFORD
VICE CHAIR
322 COLVERT W
COLLIERVILLE TN 38017-7096

Officer/Director/Trustee Three

CHRIS THOMAS
SECRETARY
445 PARSLEY ROAD
THE VILLAGES FL 32163-4050

Officer/Director/Trustee Four

LINDA HOGGATT
TREASURER
18371 BORGATA DRIVE
SURPRISE AZ 85374-8577

Officer/Director/Trustee Five

BOB UNETICH
AT LARGE
4481 RIVERWATCH DRIVE
BONITA SPRINGS FL 34134-8760

Organization’s website None
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/29/2020
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
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 Yes
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 KEITH WOLVERTON
Signature Title CHAIR
Signature Date 1/6/2021
EIN 86-1210532
Case Number EO-2021064-000858
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name USA PICKLEBALL HALL OF FAME INC
Organization’s Mailing Address 18371 N BORGATA DRIVE
City SURPRISE
State AZ
ZIP 85374-8577
Accounting period End 12
Primary contact name KEITH WOLVERTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH WOLVERTON
CHAIR
276 GREENTREE LANE
ADA MI 49301-9708

Officer/Director/Trustee Two

RANDY STAFFORD
VICE CHAIR
322 COLVERT W
COLLIERVILLE TN 38017-7096

Officer/Director/Trustee Three

CHRIS THOMAS
SECRETARY
445 PARSLEY ROAD
THE VILLAGES FL 32163-4050

Officer/Director/Trustee Four

LINDA HOGGATT
TREASURER
18371 BORGATA DRIVE
SURPRISE AZ 85374-8577

Officer/Director/Trustee Five

BOB UNETICH
AT LARGE
4481 RIVERWATCH DRIVE
BONITA SPRINGS FL 34134-8760

Organization’s website None
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/29/2020
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
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 Yes
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 KEITH WOLVERTON
Signature Title CHAIR
Signature Date 1/6/2021

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