FORM 1023-EZ for BADGER YOUTH FOOTBALL

Field Data
EIN 47-3552743
Case Number EO-2016112-000116
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BADGER YOUTH FOOTBALL
Organization’s Mailing Address PO BOX 307
City SHULLSBURG
State WI
ZIP 53586-9454
Accounting period End 12
Primary contact name SHERYL HEREAU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSH JERRY
PRESIDENT
305 S IOWA STREET
SHULLSBURG WI 53586-9454

Officer/Director/Trustee Two

MELISSA FAWCETT
VICE PRESIDENT
361 CREEK DRIVE
BENTON WI 53803-8011

Officer/Director/Trustee Three

SHERYL HEREAU
SECRETARY/TREASURER
1515 N HOPPE ROAD
ELIZABETH IL 61028-9408

Organization’s website
Organization’s email BADGERSYOUTHFOOTBALL@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2015
Organization Incorporation State WI
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: 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 Yes
One Third Support Gifts No
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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