FORM 1023-EZ for QUAD CITY CROSSFIRE 03 SOFTBALL CLUB

Field Data
EIN 47-1585104
Case Number EO-2015264-000283
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name QUAD CITY CROSSFIRE 03 SOFTBALL CLUB
Organization’s Mailing Address 2525 13TH STREET
City ROCK ISLAND
State IL
ZIP 61201-8678
Accounting period End 7
Primary contact name TOM BROKAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CLAYTON KILLIAN
PRESIDENT
4315 - 45TH AVENUE
ROCK ISLAND IL 61201-7135

Officer/Director/Trustee Two

BRIAN BEADLE
VICE PRESIDENT
104 SHAWNEE CIRCLE
PARK VIEW IL 52748-9521

Officer/Director/Trustee Three

TOM BROKAW
TREASURER
2525-13TH STREET
ROCK ISLAND IL 61201-5322

Officer/Director/Trustee Four

TRACY HOWELL
SECRETARY
2107 W 17TH STREET
DAVENPORT IA 52804-3521

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/7/2015
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 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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