FORM 1023-EZ for CUBA CITY YOUTH BASKETBALL INC

Field Data
EIN 47-4206104
Case Number EO-2015317-000278
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CUBA CITY YOUTH BASKETBALL INC
Organization’s Mailing Address PO BOX 715
City CUBA CITY
State WI
ZIP 53807
Accounting period End 12
Primary contact name AIMEE RICHARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRIAN VAASSEN
PRESIDENT
3108 LINE RD
CUBA CITY WI 53807

Officer/Director/Trustee Two

AIMEE RICHARD
VICE PRESIDENT
2185 ROBERT L CT
KIELER WI 53812

Officer/Director/Trustee Three

LAURA SLAATS
TREASURER
3651 COUNTY RD HHH
KIELER WI 53812

Officer/Director/Trustee Four

KARLA JONES
SCHEDULER
505 S SCHOOL ST
CUBA CITY WI 53807

Officer/Director/Trustee Five

CHRIS SANDER
SECRETARY
511 E ROOSEVELT
CUBA CITY WI 53807

Organization’s website HTTP://CCYOUTHBASKETBALL.ORG/
Organization’s email CCYOUTHBASKETBALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/2015
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: Yes
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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