FORM 1023-EZ for KAIZEN VOLLEYBALL DEVELOPMENT CLUB

Field Data
EIN 84-2820959
Case Number EO-2019240-000207
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KAIZEN VOLLEYBALL DEVELOPMENT CLUB
Organization’s Mailing Address 8916 S MILLER AVE
City OKLAHOMA CITY
State OK
ZIP 73159
Accounting period End 12
Primary contact name BEN WILEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL FREEMAN
PRESIDENT & DIRECTOR
8916 S MILLER AVE
OKLAHOMA CITY OK 73159

Officer/Director/Trustee Two

BEN WILEMAN
VICE-PRESIDENT & DIRECTOR
6208 WATERFORD BLVD UNIT 93
OKLAHOMA CITY OK 73118

Officer/Director/Trustee Three

NILESH VASAN
SECRETARY, TREASURER & DIRECTOR
7103 NICHOLS ROAD
OKLAHOMA CITY OK 73120

Officer/Director/Trustee Four

JENNIFER VAN MEIR
DIRECTOR
2508 STAMFORD COURT
EDMOND OK 73034

Officer/Director/Trustee Five

RACHEL MANRIQUEZ
DIRECTOR
1311 NW 94TH ST
OKLAHOMA CITY OK 73114

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/19
Organization Incorporation State OK
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 BEN WILEMAN
Signature Title VICE-PRESIDENT & DIRECTOR
Signature Date 8/26/19

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