FORM 1023-EZ for BARBED WIRE BETTIES ROLLER DERBY NFP

Field Data
EIN 81-1530687
Case Number EO-2016063-000101
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BARBED WIRE BETTIES ROLLER DERBY NFP
Organization’s Mailing Address 814 FIRST STREET
City BATAVIA
State IL
ZIP 60510
Accounting period End 11
Primary contact name VIRGINIA VICTORIA TILTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANDREA DROTT
PRESIDENT
929 SYMPHONY DRIVE
AURORA IL 60504

Officer/Director/Trustee Two

AMY GAHALA
TREASEURE
108 SOUTH BLACKHAWK PO BOX 234
SHABBONA IL 60550

Officer/Director/Trustee Three

KATHERINE KEYES
ATHLETICS DIRECTOR
1453 FAIRWAY DRIVE APT 102
NAPERVILLE IL 60563

Officer/Director/Trustee Four

KARYN BINTER
SECRETARY
814 FIRST STREET
BATAVIA IL 60510

Officer/Director/Trustee Five

SIERRA BIGJOHN
MARKETING DIRECTOR
220 EAST HILLCREST DRIVE 8103
DEKALB IL 60115

Organization’s website BARBEDWIREBETTIES.COM
Organization’s email BARBEDWIREBETTIES@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2016
Organization Incorporation State IL
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 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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