FORM 1023-EZ for INDIANOLA VIPERS

Field Data
EIN 47-3210430
Case Number EO-2015056-000269
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INDIANOLA VIPERS
Organization’s Mailing Address 13157 QUEBEC ST
City INDIANOLA
State IA
ZIP 50125
Accounting period End 12
Primary contact name STEVEN CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEVE SIELOFF
DIRECTOR, PRESIDENT
13157 QUEBEC ST
INDIANOLA IA 50125

Officer/Director/Trustee Two

DOUG DUININK
DIRECTOR, VICE PRESIDENT
204 BEVERLY CIR
MONROE IA 50170

Officer/Director/Trustee Three

TRISTAN GROVER
DIRECTOR, SECRETARY
107 WEST ORCHARD
INDIANOLA IA 50125

Officer/Director/Trustee Four

JOHN WARRICK
DIRECTOR, VICE PRESIDENT
10649 HWY S6G
PRAIRIE CITY IA 50228

Officer/Director/Trustee Five

STEVEN CAMPBELL
DIRECTOR, TREASURER
11169 DELAWARE ST
NORWALK IA 50211

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/2015
Organization Incorporation State IA
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: 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
Signature Title
Signature Date

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