FORM 1023-EZ for TIGER ATHLETIC CLUB INC

Field Data
EIN 83-3499875
Case Number EO-2019165-000214
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TIGER ATHLETIC CLUB INC
Organization’s Mailing Address 218 SOUTH 9TH STREET
City ADEL
State IA
ZIP 50003
Accounting period End 12
Primary contact name ADAM DOLL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LANNIE MONTAG
PRESIDENT
218 SOUTH 9TH ST
ADEL IA 50003

Officer/Director/Trustee Two

JASON LEINEN
VICE PRESIDENT
908 SHELBY DR
ADEL IA 50003

Officer/Director/Trustee Three

ADAM DOLL
SECRETARY
1009 MAIN ST
ADEL IA 50003

Officer/Director/Trustee Four

MIKE WARMUTH
TREASURER
24883 270TH ST
ADEL IA 50003

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/31/19
Organization Incorporation State IA
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MIKE WARMUTH
Signature Title TREASURER
Signature Date 6/12/19

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