FORM 1023-EZ for WEST BEND EAST BASKETBALL CLUB

Field Data
EIN 82-0562963
Case Number EO-2016235-000319
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WEST BEND EAST BASKETBALL CLUB
Organization’s Mailing Address 304 REEDS DR
City WEST BEND
State WI
ZIP 53095
Accounting period End 12
Primary contact name KEVIN DOORNEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN DOORNEK
DIRECTOR
304 REEDS DR
WEST BEND WI 53095

Officer/Director/Trustee Two

KYLE FUEGER
HEAD COACH
12040 W POTTER RD
WAUWATOSA WI 53226

Officer/Director/Trustee Three

STEVE ZINGSHEIM
COORDINATOR
1620 EDGEWATER DR
WEST BEND WI 53095

Organization’s website EASTSUNSBASKETBALL.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2016
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: 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
Signature Title
Signature Date

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