FORM 1023-EZ for CAM SPORTS CLUB

Field Data
EIN 20-4976174
Case Number EO-2019301-000530
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAM SPORTS CLUB
Organization’s Mailing Address 694 MAIN STREET PO BOX 305
City ANITA
State IA
ZIP 50020
Accounting period End 12
Primary contact name CHRIS SPIEKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRIS SPIEKER
PRESIDENT
202 E 6TH STREET
MASSENA IA 50853

Officer/Director/Trustee Two

STACEY PLATT
TREASURER
67626 750TH ST
MASSENA IA 50853

Officer/Director/Trustee Three

ALI DORSEY
DIRECTOR
1005 LOCUST
ANITA IA 50020

Officer/Director/Trustee Four

AMBER GUNDY
DIRECTOR
2307 HILLTOP DR
ANITA IA 50020

Officer/Director/Trustee Five

SARA MAAS
DIRECTOR
2309 HILLTOP DR
ANITA IA 50020

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/19
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 CHRIS SPIEKER
Signature Title PRESIDENT
Signature Date 10/24/19

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