FORM 1023-EZ for APPLE VALLEY HIGH SCHOOL BOYS SWIM& DIVE BOOSTER CLUB

Field Data
EIN 85-0505603
Case Number EO-2020091-000189
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name APPLE VALLEY HIGH SCHOOL BOYS SWIM& DIVE BOOSTER CLUB
Organization’s Mailing Address 13560 GOSSAMER WAY
City APPLE VALLEY
State MN
ZIP 55124
Accounting period End 6
Primary contact name CHAD LABAHN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STACEY KLEIN
CO-CHAIR
8655 143RD STREET CT
APPLE VALLEY MN 55124

Officer/Director/Trustee Two

MARIA BANKS
CO-CHAIR
7315 UPPER 157TH STREET W
APPLE VALLEY MN 55124

Officer/Director/Trustee Three

SUSAN MARCOTT
CO-TREASURER
446 REFLECTION ROAD
APPLE VALLEY MN 55124

Officer/Director/Trustee Four

CHAD LABAHN
CO-TREASURER
13560 GOSSAMER WAY
APPLE VALLEY MN 55124

Officer/Director/Trustee Five

TIFFANY LABAHN
SECRETARY
13560 GOSSAMER WAY
APPLE VALLEY MN 55124

Organization’s website HTTPS://AVHSBOYSSDPUBLIC.SHUTTERFLY.COM/
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2020
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 CHAD LABAHN
Signature Title CO-TREASURER
Signature Date 3/29/2020

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