FORM 1023-EZ for COMMUNITY BOXING CLUB INC

Field Data
EIN 80-0545976
Case Number EO-2016208-000472
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY BOXING CLUB INC
Organization’s Mailing Address W4994 CARLYLE RD
City NEILLSVILLE
State WI
ZIP 54456
Accounting period End 12
Primary contact name IAN PIERCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

IAN PIERCE
DIRECTOR
W4994 CARLYLE RD
NEILLSVILLE WI 54456

Officer/Director/Trustee Two

DALE BERGER
DIRECTOR
711 W 4TH ST
NEILLSVILLE WI 54456

Officer/Director/Trustee Three

JAMES SAMPSON
DIRECTOR
N2514 ST HWY 95
NEILLSVILLE WI 54456

Officer/Director/Trustee Five




Weillsville WI

Organization’s website
Organization’s email COMMUNITYBOXING@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 Yes
One Third Support Gifts No
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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