FORM 1023-EZ for FALCON ATHLETICS OPTIMIST CLUB

Field Data
EIN 90-0536089
Case Number EO-2015015-000301
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FALCON ATHLETICS OPTIMIST CLUB
Organization’s Mailing Address 312 VICTORIA ST
City GREEN BAY
State WI
ZIP 54302
Accounting period End 12
Primary contact name MICHAEL REIGNIER JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PETER MEARS
ATHLETIC DIRECTOR
2796 CONTINENTAL DR
GREEN BAY WI 54311

Officer/Director/Trustee Two

PATRICK VANDE WALLE
TREASURER
2844 KLONDIKE RD
GREEN BAY WI 54311

Officer/Director/Trustee Three

MICHAEL REIGNIER
PRESIDENT
3566 GLEN OAKS PASS
GREEN BAY WI 54311

Officer/Director/Trustee Four

AARON VANDEN AVOND
SECRETARY
2563 MANITOWOC ROAD
GREEN BAY WI 54311

Organization’s website WWW.FALCONFOOTBALLGB.COM
Organization’s email MREIGNIER@GBAPS.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2010
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 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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