FORM 1023-EZ for REPUBLIC YOUTH VOLLEYBALL

Field Data
EIN 87-0837193
Case Number EO-2021152-000629
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REPUBLIC YOUTH VOLLEYBALL
Organization’s Mailing Address 2435 S FORGOTTEN LANE
City REPUBLIC
State MO
ZIP 65738
Accounting period End 12
Primary contact name BRANDY CLAXTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LASA MOSEMAN
DIRECTOR TRUSTEE 1
305 E SEQUOIA
REPUBLIC MO 65738

Officer/Director/Trustee Two

BRANDY CLAXTON
SECRETARY TRUSTEE 2
1910 SOUTH FARM ROAD 69
REPUBLIC MO 65738

Officer/Director/Trustee Three

MORGAN WRIGHT
TRUSTEE 3
4485 WEST GREENRIDGE STREET
SPRINGFIELD MO 65807

Organization’s website REPUBLICYOUTHVB@GMAIL.COM
Organization’s email BRANDYCLAXTON@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/2021
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics 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 BRANDY CLAXTON
Signature Title SECRETARY TRUSTEE 2
Signature Date 5/28/2021

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