FORM 1023-EZ for MONTABELLA QUARTERBACK CLUB

Field Data
EIN 45-1775443
Case Number EO-2014272-000113
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MONTABELLA QUARTERBACK CLUB
Organization’s Mailing Address PO BOX 565
City EDMORE
State MI
ZIP 48829
Accounting period End 12
Primary contact name CHRIS MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRIS MILLER
CHAIRMAN
8275 N NEFF RD
EDMORE MI 48829

Officer/Director/Trustee Two

CHARLES NISONGER
VICE CHAIR
2670 DALE DR
SIX LAKES MI 48886

Officer/Director/Trustee Three

SHANE RILEY
TREASURER
780 JACKSON RD
BLANCHARD MI 59310

Officer/Director/Trustee Four

KRISTIE T TAUBITZ
SECRETARY
6153 N NEFF RD
EDMORE MI 48829

Officer/Director/Trustee Five

H JAMES LACROIX
TRUSTEE
8757 N CEDAR LAKE RD
EDMORE MI 48829

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/2010
Organization Incorporation State MI
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: 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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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