FORM 1023-EZ for HUSKY FOOTBALL CLUB

Field Data
EIN 82-5229099
Case Number EO-2018136-000306
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HUSKY FOOTBALL CLUB
Organization’s Mailing Address 2135 SAINT FRANCIS DRIVE
City EAU CLAIRE
State WI
ZIP 54703
Accounting period End 12
Primary contact name GEORGE TAIT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAM BARBY
PRESIDENT
3312 EDWARDS STREET
EAU CLAIRE WI 54703

Officer/Director/Trustee Two

RYAN DAHLGREN
VICE PRESIDENT
2512 9TH STREET
EAU CLAIRE WI 54703

Officer/Director/Trustee Three

MICHELLE VANCE
SECRETARY
2536 PETERSON AVENUE
EAU CLAIRE WI 54703

Officer/Director/Trustee Four

GEORGE TAIT
TREASURER
2135 SAINT FRANCIS DRIVE
EAU CLAIRE WI 54703

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/30/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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 GEORGE TAIT
Signature Title TREASURER
Signature Date 5/11/18

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