FORM 1023-EZ for MEDFORD CITY BASEBALL INC

Field Data
EIN 81-3998643
Case Number EO-2017011-000176
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MEDFORD CITY BASEBALL INC
Organization’s Mailing Address PO BOX 143
City MEDFORD
State WI
ZIP 54451
Accounting period End 12
Primary contact name TAMMY HANSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOM MUELLER
PRESIDENT
911 HIGHLAND LANE
MEDFORD WI 54451

Officer/Director/Trustee Two

JUDD HRABY
SECRETARY
W2890 STATE HWY 64
MEDFORD WI 54451

Officer/Director/Trustee Three

KURT ALEXANDER
BOARD MEMBER
N3702 SHATTUCK ST
MEDFORD WI 54451

Officer/Director/Trustee Four

JOHNATHON LANGE
TREASURER
W7119 MAPLEWOOD LANE
MEDFORD WI 54451

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2016
Organization Incorporation State WI
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: 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
Signature Title
Signature Date

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