FORM 1023-EZ for LODI BOYS YOUTH BASKETBALL CORPORATION

Field Data
EIN 85-0590148
Case Number EO-2020321-000513
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LODI BOYS YOUTH BASKETBALL CORPORATION
Organization’s Mailing Address W12317 WHITETAIL RUN
City LODI
State WI
ZIP 53555
Accounting period End 12
Primary contact name MARK LINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK LINS
PRESIDENT
W12317 WHITETAIL RUN
LODI WI 53555

Officer/Director/Trustee Two

RANDALL FLEISCHMAN
VICE PRESIDENT
661 SUNRISE DRIVE
LODI WI 53555

Officer/Director/Trustee Three

ALISSA LEISTICO
TREASURER
N1719 ADLAW ROAD
LODI WI 53555

Officer/Director/Trustee Four

MITCHEL HAUSER
DIRECTOR
W11352 BAY DRIVE
LODI WI 53555

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2020
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: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
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 MARK LINS
Signature Title PRESIDENT
Signature Date 11/12/2020

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