FORM 1023-EZ for VICTORY VOLLEYBALL CLUB

Field Data
EIN 81-3393852
Case Number EO-2017067-000719
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VICTORY VOLLEYBALL CLUB
Organization’s Mailing Address 655 HIGHLAND ACRES LOOP
City COUNCIL BLUFFS
State IA
ZIP 51503
Accounting period End 12
Primary contact name BENJAMIN L ROUSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELSEY TECH
PRESIDENT/DIRECTOR
655 HIGHLAND ACRES LOOP
COUNCIL BLUFFS IA 51503

Officer/Director/Trustee Two

LOIS JOHNSON
SECRETARY/DIRECTOR
110 SUNSET DRIVE
UNDERWOOD IA 51576

Officer/Director/Trustee Three

RANDY TECH
TREASURER/DIRECTOR
655 HIGHLAND ACRES LOOP
COUNCIL BLUFFS IA 51503

Organization’s website
Organization’s email VICTORYVBALLCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/2016
Organization Incorporation State IA
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: Yes
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 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 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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