FORM 1023-EZ for CHIPPEWA VALLEY GIRLS HOCKEY ASSOCIATION

Field Data
EIN 20-4599568
Case Number EO-2015148-000391
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHIPPEWA VALLEY GIRLS HOCKEY ASSOCIATION
Organization’s Mailing Address 2411 GARFIELD AVENUE
City ALTOONA
State WI
ZIP 54720
Accounting period End 12
Primary contact name QUINN HAYS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ASHLEY MORK
PRESIDENT
2411 GARFIELD AVENUE
ALTOONA WI 54720-1374

Officer/Director/Trustee Two

JOHN KILLEY
VICE PRESIDENT
3638 CUMMINGS AVENUE
EAU CLAIRE WI 54701-7311

Officer/Director/Trustee Three

QUINN HAYS
TREASURER
1726 ROYAL COURT
EAU CLAIRE WI 54701-7311

Officer/Director/Trustee Four

DAVE MILLER
DIRECTOR
1127 JENSEN ROAD
EAU CLAIRE WI 54701-7344

Officer/Director/Trustee Five

TINA KILLEY
DIRECTOR
3638 CUMMINGS AVENUE
EAU CLAIRE WI 54701-7311

Organization’s website WWW.LEAGUELINEUP.COM/ECAJRSTARS
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2006
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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