FORM 1023-EZ for CLUBCENTRAL VOLLEYBALL

Field Data
EIN 83-2745193
Case Number EO-2019031-000353
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLUBCENTRAL VOLLEYBALL
Organization’s Mailing Address 813 S HONEY LOCUST AVE
City SIOUX FALLS
State SD
ZIP 57110
Accounting period End 11
Primary contact name JILL HANSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JILL HANSEN
BOARD OF DIRECTORS/CLUB DIRECTOR
813 S HONEY LOCUST AVE
SIOUX FALLS SD 57110

Officer/Director/Trustee Two

EMILY PALMER
BOARD OF DIRECTORS
1505 S GLENDALE AVE
SIOUX FALLS SD 57105

Officer/Director/Trustee Three

REBECCA SMITH
BOARD OF DIRECTORS
7605 WEST BOULDER CREEK DRIVE APT 3
SIOUX FALLS SD 57106

Organization’s website CLUBCENTRALVB.COM
Organization’s email JILL@CLUBCENTRALVB.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/18
Organization Incorporation State SD
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 Yes
Donation of funds Yes
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 JILL HANSEN
Signature Title BOARD OF DIRECTORS/CLUB DIRECTOR
Signature Date 1/2/19

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