FORM 1023-EZ for JEFFERSON YOUTH TACKLE FOOTBALL INC

Field Data
EIN 10-0651017
Case Number EO-2017075-000377
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JEFFERSON YOUTH TACKLE FOOTBALL INC
Organization’s Mailing Address 850 EDGEWOOD PLACE
City JEFFERSON
State WI
ZIP 53549-1633
Accounting period End 12
Primary contact name THOMAS J MONOGUE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONALD MOEHLING
PRESIDENT
850 EDGEWOOD PLACE
JEFFERSON WI 53549-1633

Officer/Director/Trustee Two

JEFF LIPPERER
VICE PRESIDENT
382 EAST RACINE STREET
JEFFERSON WI 53549-1633

Officer/Director/Trustee Three

DENNIS REUHL
SECRETARY
645 MEADOWVIEW LANE
JOHNSON CREEK WI 53038-9491

Officer/Director/Trustee Four

LEE MOLDENHAUER
TREASURER
N3661 HIGHWAY K
JEFFERSON WI 53549-1633

Officer/Director/Trustee Five

JOSH ZEH
DIRECTOR
605 LITTLE RIVER COURT
JEFFERSON WI 53549-1633

Organization’s website
Organization’s email DCGMOEHLING@CHARTER.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/4/2002
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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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