FORM 1023-EZ for CHUGIAK BASKETBALL BOOSTER CLUB

Field Data
EIN 84-2917896
Case Number EO-2019304-000310
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHUGIAK BASKETBALL BOOSTER CLUB
Organization’s Mailing Address PO BOX 771083
City EAGLE RIVER
State AK
ZIP 99577
Accounting period End 12
Primary contact name CHRISTINE WACHMANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINE WACHMANN
PRESIDENT
18311 MULDROW ST
EAGLE RIVER AK 99577

Officer/Director/Trustee Two

TIFFANY PARKS
VICE PRESIDENT
19716 REVILLA CIRCLE
EAGLE RIVER AK 99577

Officer/Director/Trustee Three

ERIN BEAM
SECRETARY
23404 GLENN HILL CIRCLE
CHUGIAK AK 99567

Officer/Director/Trustee Four

MELINDA HARR
TREASURER
12862 ROSSER DRIVE
EAGLE RIVER AK 99577

Organization’s website
Organization’s email CHUGIAKBASKETBALLBOOSTERCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/19
Organization Incorporation State AK
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: 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHRISTINE WACHMANN
Signature Title PRESIDENT
Signature Date 10/29/19

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