FORM 1023-EZ for AZ PLATINUM VOLLEYBALL CLUB

Field Data
EIN 83-4537238
Case Number EO-2019119-000402
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AZ PLATINUM VOLLEYBALL CLUB
Organization’s Mailing Address 16135 W CINNABAR CT
City WADDELL
State AZ
ZIP 85355
Accounting period End 12
Primary contact name LISA PATRICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELVIN R PATRICK
DIRECTOR
16135 W CINNABAR CT
WADDELL AZ 85355

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/19
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 KELVIN R PATRICK
Signature Title DIRECTOR
Signature Date 4/26/19

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