FORM 1023-EZ for JC FASTPITCH SOFTBALL INC

Field Data
EIN 82-3776345
Case Number EO-2018348-000080
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JC FASTPITCH SOFTBALL INC
Organization’s Mailing Address 105 RED FOX DRIVE
City JOHNSON CREEK
State WI
ZIP 53038
Accounting period End 12
Primary contact name BRIAN STATZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN STATZ
PRESIDENT & DIRECTOR
N3450 MARKERT ROAD
HELENVILLE WI 53137

Officer/Director/Trustee Two

MERISA NICHOLSON
SECRETARY & DIRECTOR
205 PIONEER DRIVE
JOHNSON CREEK WI 53038

Officer/Director/Trustee Three

KATIE NADBORALSKI
TREASURER & DIRECTOR
105 RED FOX DRIVE
JOHNSON CREEK WI 53038

Officer/Director/Trustee Four

ADAM FITZGERALD
DIRECTOR
865 HERON DRIVE
WATERLOO WI 53594

Officer/Director/Trustee Five

CALEB HARTSTOCK
VICE PRESIDENT & DIRECTOR
309 SOUTH STREET APT 2
JOHNSON CREEK WI 53038

Organization’s website HTTPS://WWW.JCLADYYELLOWJACKETS.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/17
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 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 KATIE NADBORALSKI
Signature Title TREASURER & DIRECTOR
Signature Date 12/11/18

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