FORM 1023-EZ for POLAR BEAR FASTPITCH CLUB

Field Data
EIN 27-2366239
Case Number EO-2016239-000098
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POLAR BEAR FASTPITCH CLUB
Organization’s Mailing Address PO BOX 351
City HORTONVILLE
State WI
ZIP 54944
Accounting period End 12
Primary contact name LISA CLIVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOM CLIVER
PRESIDENT
N1623 OLIVE CT
GREENVILLE WI 54942

Officer/Director/Trustee Two

GARY NIEMANN
VICE PRESIDENT
W7669 SPRING RD
GREENVILLE WI 54942-8661

Officer/Director/Trustee Three

DEB SAGER
TREASURER
W8587 SPRING ROAD
HORTONVILLE WI 54944

Officer/Director/Trustee Four

LISA CLIVER
SECRETARY
N1623 OLIVE CT
GREENVILLE WI 54942

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/2010
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: 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 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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