FORM 1023-EZ for GLEN ELLYN RAIDERS BASKETBALL CLUB

Field Data
EIN 83-1916003
Case Number EO-2019241-000404
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GLEN ELLYN RAIDERS BASKETBALL CLUB
Organization’s Mailing Address 23W304 ST JAMES CT
City GLEN ELLYN
State IL
ZIP 60137
Accounting period End 6
Primary contact name JAMES MIZWICKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES MIZWICKI
DIRECTOR
23W304 ST JAMES CT
GLEN ELLYN IL 60137

Officer/Director/Trustee Two

MICHELLE FIORE
TREASURER
23W284 WOODCROFT
GLEN ELLYN IL 60137

Officer/Director/Trustee Three

JAMES RUPP
SECRETARY
889 SHEEHAN
GLEN ELLYN IL 60137

Organization’s website
Organization’s email MIZ3073@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/18
Organization Incorporation State IL
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 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 JAMES MIZWICKI
Signature Title DIRECTOR
Signature Date 8/27/19

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