FORM 1023-EZ for UPPER VALLEY DISC GOLF ASSOCIATION

Field Data
EIN 83-3973153
Case Number EO-2019263-000364
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UPPER VALLEY DISC GOLF ASSOCIATION
Organization’s Mailing Address 642 HANOVER CENTER ROAD
City HANOVER
State NH
ZIP 03755
Accounting period End 12
Primary contact name DANIEL WALSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL WALSH
PRESIDENT
333 CRYSTAL LAKE ROAD APT 1
ENFIELD NH 03748

Officer/Director/Trustee Two

MICHAEL MELKERS
DIRECTOR
642 HANOVER CENTER ROAD
HANOVER NH 03755

Officer/Director/Trustee Three

RYAN MOODY
DIRECTOR
653 NH RT 10
ORFORD NH 03777

Officer/Director/Trustee Four

DANIEL SCHROEDER
DIRECTOR
112 KING ROAD
ETNA NH 03750

Officer/Director/Trustee Five

PETER BOLDUC
DIRECTOR
9 LARO STREET
LEBANON NH 03766

Organization’s website WWW.UVDGA.COM
Organization’s email UPPERVALLEYDGA@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2019
Organization Incorporation State NH
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: Yes
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 DANIEL WALSH
Signature Title PRESIDENT
Signature Date 9/18/2019

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