FORM 1023-EZ for PV JUNKIES VAULT CLUB

Field Data
EIN 81-0726928
Case Number EO-2016237-000407
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PV JUNKIES VAULT CLUB
Organization’s Mailing Address 2306 WHITSON CIRCLE
City URBANA
State IL
ZIP 61801-6945
Accounting period End 12
Primary contact name BRYAN CARREL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRYAN CARREL
FOUNDER/OWNER/HEAD COACH
2306 WHITSON CIR
URBANA IL 61801-6945

Officer/Director/Trustee Two

LORI CARREL
SECRETARY/TREASURER
2306 WHITSON CIR
URBANA IL 61801-6945

Organization’s website PVJUNKIES.COM
Organization’s email INFO@PVJUNKIES.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2016
Organization Incorporation State IL
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 Yes
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
Signature Title
Signature Date

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