FORM 1023-EZ for PLEASANT VALLEY PLATINUM PARENT BOOSTERS

Field Data
EIN 46-2368667
Case Number EO-2015202-000253
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PLEASANT VALLEY PLATINUM PARENT BOOSTERS
Organization’s Mailing Address PO BOX 1726
City BETTENDORF
State IA
ZIP 52722-0029
Accounting period End 4
Primary contact name ANGIE PAULSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KAREN STRUSZ
PRESIDENT
4670 ATWOOD CT
BETTENDORF IA 52722-0029

Officer/Director/Trustee Two

LINDA DELESSIO
VICE PRESIDENT
5912 CRAIGIN BLUFF CT
BETTENDORF IA 52722-0029

Officer/Director/Trustee Three

KIRSTEN ADAMS
SECRETARY
25102 10089TH ST
BETTENDORF IA 52722-0029

Officer/Director/Trustee Four

ANGIE PAULSON
TREASURER
5381 GRIFFIN LN
BETTENDORF IA 52722-0029

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/2013
Organization Incorporation State IA
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: 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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