FORM 1023-EZ for WEST BURLINGTON-NOTRE DAME TRAP CLUB INC

Field Data
EIN 83-3390906
Case Number EO-2020021-000241
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WEST BURLINGTON-NOTRE DAME TRAP CLUB INC
Organization’s Mailing Address 8568 180TH STREET
City SPERRY
State IA
ZIP 52650
Accounting period End 12
Primary contact name CHRIS WALLACE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSH CASTON
PRESIDENT
8568 180TH STREET
SPERRY IA 52650

Officer/Director/Trustee Two

ARON KLAT
VICE-PRESIDENT
2008 SOUTH MAIN
BURLINGTON IA 52601

Officer/Director/Trustee Three

SHELLEY WALLACE
SECRETARY TREASURER
1937 315TH AVENUE
FORT MADISON IA 52627

Officer/Director/Trustee Four

DOROTHY PALMER
DIRECTOR
222 SWAN STREET
WEST BURLINGTON IA 52655

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2019
Organization Incorporation State IA
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: 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 Yes
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 JOSH CASTON
Signature Title PRESIDENT
Signature Date 1/16/2020

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