FORM 1023-EZ for RHS BOYS SWIM AND DIVE BOOSTER CLUB

Field Data
EIN 81-4703704
Case Number EO-2021082-000771
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RHS BOYS SWIM AND DIVE BOOSTER CLUB
Organization’s Mailing Address PO BOX 313
City ROSEMOUNT
State MN
ZIP 55068
Accounting period End 12
Primary contact name CYNDIE SIKORSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTIN HOFF
PRESIDENT
3336 COUCHTOWN PATH
ROSEMOUNT MN 55068

Officer/Director/Trustee Two

CYNDIE SIKORSKI
TREASURER
13404 CARLINGFORD LN
ROSEMOUNT MN 55068

Organization’s website WWW.IRISHSWIM.ORG/BOYS
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CYNDIE SIKORSKI
Signature Title TREASURER
Signature Date 2/1/2021
EIN 81-4703704
Case Number EO-2016354-000271
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RHS BOYS SWIM AND DIVE BOOSTER CLUB
Organization’s Mailing Address PO BOX 313
City ROSEMOUNT
State MN
ZIP 55068
Accounting period End 12
Primary contact name DEBORAH VENESS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARGARET BRENNER-TIMBERS
PRESIDENT
15224 DANVILLE AVE W
ROSEMOUNT MN 55068

Officer/Director/Trustee Two

DEBORAH VENESS
TREASURER
6175 169TH ST W
FARMINGTON MN 55024

Organization’s website WWW.IRISHSWIM.ORG/BOYS
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 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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