FORM 1023-EZ for DE EAGLES JO VOLLEYBALL

Field Data
EIN 83-2392164
Case Number EO-2019045-000086
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DE EAGLES JO VOLLEYBALL
Organization’s Mailing Address 3247 COUNTY 107 ROAD NE
City EYOTA
State MN
ZIP 55934-2316
Accounting period End 6
Primary contact name MICHELLE ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE ANDERSON
TREASURER
3247 COUNTY 107 ROAD NE
EYOTA MN 55934-2316

Officer/Director/Trustee Two

SCOTT ANDERSON
PRESIDENT
3247 COUNTY 107 ROAD NE
EYOTA MN 55934-2316

Officer/Director/Trustee Three

AMY NOVOTNE
SECRETARY
5804 WOODROSE CT SE
ROCHESTER MN 55904-8011

Officer/Director/Trustee Four

JAMIE KIMBALL
VICE-PRESIDENT
910 NANCY CT SW
EYOTA MN 55934-2328

Officer/Director/Trustee Five

JENNIFER HIGGINS
DIRECTOR
8484 40TH ST SE
EYOTA MN 55934-3002

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 MICHELLE ANDERSON
Signature Title TREASURER
Signature Date 2/12/19

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