FORM 1023-EZ for BELLEVILLE BASKETBALL PROGRAM INC

Field Data
EIN 36-4838467
Case Number EO-2016165-000345
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BELLEVILLE BASKETBALL PROGRAM INC
Organization’s Mailing Address 7872 HIGHWAY A
City VERONA
State WI
ZIP 53593
Accounting period End 7
Primary contact name PETER RICHTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAROD WICHSER
DIRECTOR
443 CHESTNUT DRIVE
EVANSVILLE WI 53536

Officer/Director/Trustee Two

KERRY STEINAGEL
DIRECTOR
1109 ENTERPRISE DRIVE
VERONA WI 53593

Officer/Director/Trustee Three

KURT FAHEY
DIRECTOR
545 FRITZ ROAD
BELLEVILLE WI 53508

Officer/Director/Trustee Four

ERIC SHRADER
DIRECTOR
W2671 STORYCREEK CIRCLE
BELLEVILLE WI 53508

Officer/Director/Trustee Five

VAN REAR
DIRECTOR
7872 HIGHWAY A
VERONA WI 53593

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2015
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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