FORM 1023-EZ for NEW PRAGUE HIGH SCHOOL LACROSSE BOOSTER CLUB

Field Data
EIN 86-1987165
Case Number EO-2021089-000340
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEW PRAGUE HIGH SCHOOL LACROSSE BOOSTER CLUB
Organization’s Mailing Address 1410 8TH ST CT SE
City NEW PRAGUE
State MN
ZIP 56071
Accounting period End 12
Primary contact name ERIC BREVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CRILISSA FENNER
PRESIDENT
4120 MILLER VIEW RD
ELKO MN 55020

Officer/Director/Trustee Two

DANA ILLIES
VICE PRESIDENT
1410 8TH ST CT SE
NEW PRAGUE MN 56071

Officer/Director/Trustee Three

JONI KUEHL
SECRETARY
215 MAVERICK AVE
NEW MARKET MN 55054

Officer/Director/Trustee Four

JEAN SCHMIDT
TREASURER
27295 ZACHARY AVE
ELKO MN 55020

Officer/Director/Trustee Five

SUSAN TUPY
DIRECTOR
13467 290TH ST
NEW PRAGUE MN 56071

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2021
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - 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 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 JEAN SCHMIDT
Signature Title TREASURER
Signature Date 2/10/2021

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