FORM 1023-EZ for OZAUKEE VOLLEYBALL CLUB INC

Field Data
EIN 81-4089988
Case Number EO-2016287-000251
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OZAUKEE VOLLEYBALL CLUB INC
Organization’s Mailing Address W56 N786 HAWTHORNE AVE
City CEDARBURG
State WI
ZIP 53012
Accounting period End 12
Primary contact name DAMIEN EVANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAMIEN EVANS
PRESIDENT
W56 N786 HAWTHORNE AVE
CEDARBURG WI 53012

Officer/Director/Trustee Two

TIM HAGEN
VICE PRESIDENT
6735 KINGSWOOD DR
CEDARBURG WI 53012

Officer/Director/Trustee Three

PAULA EVANS
SECRETARY
W56 N786 HAWTHORNE AVE
CEDARBURG WI 53012

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/11/2016
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: 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 Yes
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
Signature Title
Signature Date

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