FORM 1023-EZ for TWO RIVERS YOUTH SPORTS INC

Field Data
EIN 81-4844900
Case Number EO-2017044-000117
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TWO RIVERS YOUTH SPORTS INC
Organization’s Mailing Address 4120 CLOVER STREET
City TWO RIVERS
State WI
ZIP 54241
Accounting period End 12
Primary contact name ALISON C PETRI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADAM WACHOWSKI
PRESIDENT/DIRECTOR
4120 CLOVER STREET
TWO RIVERS WI 54241

Officer/Director/Trustee Two

KIRK SHILLCOX
DIRECTOR
8136 STH 147
TWO RIVERS WI 54241

Officer/Director/Trustee Three

BRETT LA CHAPPELLE
DIRECTOR
2716 FOREST AVENUE
TWO RIVERS WI 54241

Officer/Director/Trustee Four

JEFF SCHWEKE
TREASURER
952 ROSEMERE CIRCLE
MANITOWOC WI 54220

Officer/Director/Trustee Five

CORY WACHOWSKI
VICE PRESIDENT
937 CHRYSLER DRIVE
MISHICOT WI 54228

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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 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
Signature Title
Signature Date

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