FORM 1023-EZ for BNI BLUE GOLD BOOSTER CLUB INC

Field Data
EIN 27-3380443
Case Number EO-2018022-000089
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BNI BLUE GOLD BOOSTER CLUB INC
Organization’s Mailing Address 8504 BARING AVE
City MUNSTER
State IN
ZIP 46321
Accounting period End 12
Primary contact name KEVIN ONEILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN CLOGHESSY
PRESIDENT
842 SHANNON DR
CROWN POINT IN 46307

Officer/Director/Trustee Two

LISA KUSIAK
SECRETARY
8414 NORTHCOTE AVE
MUNSTER IN 46321

Officer/Director/Trustee Three

KEVIN ONEILL
TREASURER
8504 BARING AVE
MUNSTER IN 46321

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/13/11
Organization Incorporation State IN
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: Yes
Religious: No
Educational: No
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 Yes
Correctness Declaration Yes
Signature Name KEVIN ONEILL
Signature Title TREASURER
Signature Date 1/18/18

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