FORM 1023-EZ for ST CROIX SELECT VOLLEYBALL CLUB INC

Field Data
EIN 84-3438536
Case Number EO-2020181-000056
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ST CROIX SELECT VOLLEYBALL CLUB INC
Organization’s Mailing Address 659 153RD ST
City ROBERTS
State WI
ZIP 54023
Accounting period End 12
Primary contact name PATRICK GOSTOVICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK GOSTOVICH
DIRECTOR
659 153RD ST
ROBERTS WI 54023

Officer/Director/Trustee Two

JASON HOLMGREN
DIRECTOR
513 171ST ST
HAMMOND WI 54015

Officer/Director/Trustee Three

AIMEE BOHATTA
DIRECTOR
673 NORTON ST
HAMMOND WI 54015

Organization’s website
Organization’s email STCROIXSELECT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2019
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 PATRICK GOSTOVICH
Signature Title DIRECTOR
Signature Date 6/24/2020

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