FORM 1023-EZ for GILLETT NETS BASKETBALL CLUB

Field Data
EIN 86-3124055
Case Number EO-2021104-000232
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GILLETT NETS BASKETBALL CLUB
Organization’s Mailing Address 6082 QUARTERLINE ROAD
City GILLETT
State WI
ZIP 54124
Accounting period End 12
Primary contact name RUSSEL YOUNG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIM BJELLAND
PRESIDENT
6082 QUARTERLINE ROAD
GILLETT WI 54124

Officer/Director/Trustee Two

TERA MATCZAK
VICE PRESIDENT/SECRETARY
9512 CTY RD E
OCONTO FALLS WI 54154

Officer/Director/Trustee Three

KIRK YOUNG
TREASURER
10418 STATE HWY 22 E
GILLETT WI 54124

Officer/Director/Trustee Four

RUSSEL YOUNG
BOARD MEMBER
604 PARK AVE
OCONTO WI 54153

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2021
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KIM BJELLAND
Signature Title PRESIDENT
Signature Date 4/8/2021

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