FORM 1023-EZ for BROADUS VOLLEYBALL CLUB

Field Data
EIN 81-4618680
Case Number EO-2018080-000213
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROADUS VOLLEYBALL CLUB
Organization’s Mailing Address 136 E US HWY 212
City BROADUS
State MT
ZIP 59317
Accounting period End 12
Primary contact name ELIZABETH NISLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH NISLEY
CHAIRMAN
136 E US HWY 212
BROADUS MT 59317

Officer/Director/Trustee Two

JENNIFER NELSON
SECRETARY
38 N ST HWY 59
BROADUS MT 59317

Officer/Director/Trustee Three

JERRILYN DELL
TREASURER
520 N TRAUTMAN
BROADUS MT 59317

Officer/Director/Trustee Four

JACLYN CASTLEBERRY
MEMBER
217 W NORTH ST
BROADUS MT 59317

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/18
Organization Incorporation State MT
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: 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 ELIZABETH NISLEY
Signature Title CHAIRMAN
Signature Date 3/19/18

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