FORM 1023-EZ for HAMILTON JR CHARGERS VOLLEYBALL INC

Field Data
EIN 47-3801526
Case Number EO-2018256-000464
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAMILTON JR CHARGERS VOLLEYBALL INC
Organization’s Mailing Address PO BOX 276
City SUSSEX
State WI
ZIP 53089
Accounting period End 12
Primary contact name KYLE MROTEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSI WRENCH
PRESIDENT
PO BOX 276
SUSSEX WI 53089

Officer/Director/Trustee Two

KYLE MROTEK
DIRECTOR
PO BOX 276
SUSSEX WI 53089

Officer/Director/Trustee Three

KATE JAWORSKI
TREASURER
PO BOX 276
SUSSEX WI 53089

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/15
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: 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 Yes
Correctness Declaration Yes
Signature Name KYLE MROTEK
Signature Title DIRECTOR
Signature Date 9/11/18
EIN 47-3801526
Case Number EO-2016148-000292
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAMILTON JR CHARGERS VOLLEYBALL INC
Organization’s Mailing Address PO BOX 276
City SUSSEX
State WI
ZIP 53089
Accounting period End 12
Primary contact name KYLE MROTEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JESSI WRENCH
PRESIDENT
PO BOX 276
SUSSEX WI 53089

Officer/Director/Trustee Two

JENNY BREIER
DIRECTOR
PO BOX 276
SUSSEX WI 53089

Officer/Director/Trustee Three

KYLE MROTEK
DIRECTOR
PO BOX 276
SUSSEX WI 53089

Officer/Director/Trustee Four

SUZANNE BURROW
TREASURER
PO BOX 276
SUSSEX WI 53089

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2015
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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