FORM 1023-EZ for CUMBERLAND BOYS BASKETBALL CLUB

Field Data
EIN 82-2930202
Case Number EO-2018106-000307
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CUMBERLAND BOYS BASKETBALL CLUB
Organization’s Mailing Address PO BOX 21
City CUMBERLAND
State WI
ZIP 54829
Accounting period End 6
Primary contact name SCOTT FRIESS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRENT SELLENT
PRESIDENT
1682 4 1/2 STREET
ALMENA WI 54805

Officer/Director/Trustee Two

MATT GORES
VICE PRESIDENT
412 14 1/2 AVENUE
ALMENA WI 54805

Officer/Director/Trustee Three

STACI LUNDMARK
SECRETARY
105 260TH AVENUE
CUMBERLAND WI 54829

Officer/Director/Trustee Four

SCOTT FRIESS
TREASURER
2111A 9 9/12 STREET
CUMBERLAND WI 54829

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/13/17
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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 SCOTT FRIESS
Signature Title TREASURER
Signature Date 4/10/18

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