FORM 1023-EZ for JEFFERSON YOUTH BASEBALL AND SOFTBALL CLUB INC

Field Data
EIN 20-2362420
Case Number EO-2017004-000169
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JEFFERSON YOUTH BASEBALL AND SOFTBALL CLUB INC
Organization’s Mailing Address 850 EDGEWOOD PLACE
City JEFFERSON
State WI
ZIP 53549
Accounting period End 12
Primary contact name THOMAS J MONOGUE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK PETERSON
PRESIDENT
1154 WENZEL COURT
JEFFERSON WI 53549-1633

Officer/Director/Trustee Two

DONALD MOEHLING
TREASURER
850 EDGEWOOD PLACE
JEFFERSON WI 53549-1633

Officer/Director/Trustee Three

THOMAS MONOGUE
DIRECTOR
227 SOUTH MAIN STREET
JEFFERSON WI 53549-1633

Officer/Director/Trustee Four

SCOTT KAMMER
SECRETARY
626 FAIRWAY LANE
JEFFERSON WI 53549-1633

Officer/Director/Trustee Five

BRIAN BIWER
VICE PRESIDENT
835 LUCAS LANE
JEFFERSON WI 53549-1633

Organization’s website WWW.JYBSC.ORG
Organization’s email PETERSONM@SDOJ.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/2004
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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