FORM 1023-EZ for PITTSVILLE YOUTH SPORTS INC

Field Data
EIN 47-4925745
Case Number EO-2015296-000220
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PITTSVILLE YOUTH SPORTS INC
Organization’s Mailing Address 3498 COUNTY HWY Q
City WISCONSIN RAPIDS
State WI
ZIP 54494
Accounting period End 12
Primary contact name NANCY BRUX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRIS NEPPER
CHAIR
PO BOX 54
PITTSVILLE WI 54466

Officer/Director/Trustee Two

DAN RAYBURN
SECRETARY/TREASURER
8379 3RD STREET
PITTSVILLE WI 54466

Officer/Director/Trustee Three

MARK DENNISTON
VICE-CHAIR
5130 4TH AVE
PITTSVILLE WI 54466

Officer/Director/Trustee Four

KATE KASTER
BOARD MEMBER
10818 W 8TH STREET
HEWITT WI 54441

Officer/Director/Trustee Five

NANCY BRUX
BOARD MEMBER
3498 COUNTY HWY Q
WISCONSIN RAPIDS WI 54495

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2015
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: 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 Yes
One Third Support Gifts No
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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