FORM 1023-EZ for LINCOLN NORTH STAR ATHLETICS BOOSTER CLUB

Field Data
EIN 72-1541160
Case Number EO-2016236-000099
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LINCOLN NORTH STAR ATHLETICS BOOSTER CLUB
Organization’s Mailing Address 440 WEST BURT DRIVE
City LINCOLN
State NE
ZIP 68521
Accounting period End 12
Primary contact name ROBERT L BRYANT - CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RODNEY GRIESS
PRESIDENT
440 WEST BURT DRIVE
LINCOLN NE 68521

Officer/Director/Trustee Two

MICHELLE MILLER
SECRETARY
1107 WEST KEATING DRIVE
LINCOLN NE 68521

Officer/Director/Trustee Three

KRISTY LEITSCHUCK
TREASURER
1818 INDIGO ROAD
LINCOLN NE 68521

Officer/Director/Trustee Four

LAURIE HORNER
DIRECTOR
2100 BOSTON DRIVE
LINCOLN NE 68521

Officer/Director/Trustee Five

TOM JOLLIFFE
DIRECTOR
1642 MORTON STREET
LINCOLN NE 68521

Organization’s website WWW.NORTHSTARBOOSTERCLUB.COM
Organization’s email NORTHSTARBOOSTERCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/4/2016
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 Yes
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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