FORM 1023-EZ for POLK CITY LITTLE LEAGUE

Field Data
EIN 82-4165530
Case Number EO-2018089-000272
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POLK CITY LITTLE LEAGUE
Organization’s Mailing Address 1308 SUNSET ST
City POLK CITY
State IA
ZIP 50226
Accounting period End 12
Primary contact name JEREMIAH SCHLEGEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN KLEEVER
TREASURER
1308 SUNSET ST
POLK CITY IA 50226

Officer/Director/Trustee Two

JOSH REED
VICE PRESIDENT
701 LOST LAKE DR
POLK CITY IA 50226

Officer/Director/Trustee Three

TRACY KLEEVER
VP-SOFTBALL
1308 SUNSET ST
POLK CITY IA 50226

Officer/Director/Trustee Four

CHARLIE HUSAK
PRESIDENT
707 E NORTHSIDE DRIVE
POLK CITY IA 50226

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/18
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
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 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 JOHN KLEEVER
Signature Title TREASURER
Signature Date 3/28/18

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