FORM 1023-EZ for ANOKA HIGH SCHOOL BOYS SOCCER BOOSTER CLUB

Field Data
EIN 27-3377681
Case Number EO-2015121-000307
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANOKA HIGH SCHOOL BOYS SOCCER BOOSTER CLUB
Organization’s Mailing Address 13433 NARCISSUS COURT NW
City ANDOVER
State MN
ZIP 55304
Accounting period End 12
Primary contact name GARY SPIERING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MIKE ORN
PRESIDENT
13433 NARCISSUS COURT NW
ANDOVER MN 55304

Officer/Director/Trustee Two

LISA NEUMANN
VICE PRESIDENT
13216 CROCUS ST NW
COON RAPIDS MN 55448

Officer/Director/Trustee Three

LORI ORN
SECRETARY
13433 NARCISSUS COURT NW
ANDOVER MN 55304

Officer/Director/Trustee Four

GARY SPIERING
TREASURER
13115 KERRY ST NW
COON RAPIDS MN 55448

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/2010
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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