FORM 1023-EZ for BLHS BASKETBALL BOOSTERS

Field Data
EIN 83-2122910
Case Number EO-2018318-000036
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLHS BASKETBALL BOOSTERS
Organization’s Mailing Address 531 2ND STREET EAST
City HECTOR
State MN
ZIP 55342
Accounting period End 12
Primary contact name DAN EDWARDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DYLAN GASS
PRESIDENT
604 E WALNUT AVE
OLIVIA MN 56277

Officer/Director/Trustee Two

DUSTIN WRIGHT
VICE PRESIDENT
301 2ND ST E APT 2
HECTOR MN 55342

Officer/Director/Trustee Three

DAN EDWARDS
TREASURER
531 2ND ST E
HECTOR MN 55342

Officer/Director/Trustee Four

PAM KOTTKE
SECRETARY
PO BOX 45
BUFFALO LAKE MN 55314

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/18
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: 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 DAN EDWARDS
Signature Title TREASURER
Signature Date 11/6/18

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