FORM 1023-EZ for CHS GIRLS SOCCER BOOSTERS

Field Data
EIN 82-1105803
Case Number EO-2017121-000125
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHS GIRLS SOCCER BOOSTERS
Organization’s Mailing Address PO BOX 270471
City VADNAIS HTS
State MN
ZIP 55127
Accounting period End 6
Primary contact name JILL WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JILL WILSON
PRESIDENT
7674 PALOMINO LANE
LINO LAKES MN 55014

Officer/Director/Trustee Two

PAUL ROME
TREASURER
6878 MALLARD WAY
CENTERVILLE MN 55038

Officer/Director/Trustee Three

TRINH AHLES
BOARD MEMBER
6433 CASSIOPEIA CT
LINO LAKES MN 55014

Officer/Director/Trustee Four

BRIAN NELSON
BOARD MEMBER
1747 MEADOW LANE
CENTERVILLE MN 55038

Officer/Director/Trustee Five

LISA SHOCK
BOARD MEMBER
107 MUSTANG CT
LINO LAKES MN 55014

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
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 Yes
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
Signature Title
Signature Date

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