FORM 1023-EZ for GALVA YOUTH SPORTS ASSOCIATION

Field Data
EIN 82-1094453
Case Number EO-2017100-000272
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GALVA YOUTH SPORTS ASSOCIATION
Organization’s Mailing Address PO BOX 283
City GALVA
State IL
ZIP 61434
Accounting period End 12
Primary contact name BRENDA JEFFREY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRENDA JEFFREY
PRESIDENT
824 E DIVISION ST
GALVA IL 61434

Officer/Director/Trustee Two

MIKE KEUP
VICE PRESIDENT
MAIN ST
BISHOP HILL IL 61419

Officer/Director/Trustee Three

STEPHANIE WEXELL
TREASURER
410 SWANK ST
GALVA IL 61434

Officer/Director/Trustee Four

KRYSTAL WEST
SECRETARY
221 S CENTER AVE
GALVA IL 61434

Organization’s website HTTP://WWW.GALVAYOUTH.COM
Organization’s email GALVAYOUTH@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2015
Organization Incorporation State IL
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 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
Signature Title
Signature Date

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