FORM 1023-EZ for HOLMEN YOUTH VOLLEYBALL ORGANIZATION INC

Field Data
EIN 47-3189981
Case Number EO-2015146-000467
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOLMEN YOUTH VOLLEYBALL ORGANIZATION INC
Organization’s Mailing Address 909 AMY DRIVE
City HOLMEN
State WI
ZIP 54636-9427
Accounting period End 12
Primary contact name CRAIG EVENSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CRAIG EVENSON
PRESIDENT
909 AMY DRIVE
HOLMEN WI 54636-9427

Officer/Director/Trustee Two

STACY EVENSON
TREASURER/SECRETARY
909 AMY DRIVE
HOLMEN WI 54636-9427

Officer/Director/Trustee Three

TROY BOE
VICE PRESIDENT
232 JOHNSON STREET
HOLMEN WI 54636

Officer/Director/Trustee Four

BRYAN JOSTAD
DIRECTOR
226 E GAARDER ROAD
HOLMEN WI 54636

Officer/Director/Trustee Five

DAN JARECKI
DIRECTOR
W6762 HWY T
HOLMEN WI 54636

Organization’s website HTTP://SPIKINGVIKINGS.WIX.COM/HOLMEN-SPVK
Organization’s email SPIKINGVIKINGS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/2015
Organization Incorporation State WI
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: No
Religious: No
Educational: Yes
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 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
Signature Title
Signature Date

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