FORM 1023-EZ for DARLINGTON FOOTBALL BOOSTERS INC

Field Data
EIN 82-3461090
Case Number EO-2018190-000376
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DARLINGTON FOOTBALL BOOSTERS INC
Organization’s Mailing Address 12240 TAMA RUN ROAD
City DARLINGTON
State WI
ZIP 53530
Accounting period End 12
Primary contact name CHRISTOPHER D ROELLI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RILEY FITZSIMONS
PRESIDENT
213 E RIVER STRET
DARLINGTON WI 53530

Officer/Director/Trustee Two

MARK WHALEN
VICE PRESIDENT
7400 AMES ROAD
DARLINGTON WI 53530

Officer/Director/Trustee Three

HEATH HARTWIG
TREASURER
1311 ARTHUR ST
DARLINGTON WI 53530

Officer/Director/Trustee Four

SCOTT BREDESON
SECRETARY
19256 COUNTY ROAD D
DARLIINGTON WI 53530

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 RILEY FITZSIMONS
Signature Title PRESIDENT
Signature Date 7/5/18

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