FORM 1023-EZ for PICKLEBALL OUTREACH

Field Data
EIN 47-5465388
Case Number EO-2015309-000071
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PICKLEBALL OUTREACH
Organization’s Mailing Address 176 W CROOKED LAKE DR
City KALAMAZOO
State MI
ZIP 49009-9713
Accounting period End 7
Primary contact name JAMES K HACKENBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMES HACKENBERG
CHAIRPERSON
176 W CROOKED LAKE DR
KALAMAZOO MI 49009-9713

Officer/Director/Trustee Two

PATRICK SINICKI
VICE CHAIRPERSON
9013 NOUGGLES ST
PORTAGE MI 49002-6563

Officer/Director/Trustee Three

LARRY ALLGAIER
SECRETARY
6352 INDEPENDENCE DR
PORTAGE MI 49024-2600

Officer/Director/Trustee Four

YVONNE HACKENBERG
TREASURER
176 W CROOKED LAKE DR
KALAMAZOO MI 49009-9713

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/2015
Organization Incorporation State MI
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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