FORM 1023-EZ for ST CLOUD BOYS LACROSSE BOOSTER CLUB

Field Data
EIN 81-2915474
Case Number EO-2016193-000476
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ST CLOUD BOYS LACROSSE BOOSTER CLUB
Organization’s Mailing Address 21113 GRAND LAKE CT
City COLD SPRING
State MN
ZIP 56320
Accounting period End 10
Primary contact name JOSEPH SEIFERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICK ILLG
PRESIDENT
25512 LAKE RD
ST CLOUD MN 56301

Officer/Director/Trustee Two

JOSEPH SEIFERT
TREASURER
21113 GRAND LAKE CT
COLD SPRING MN 56320

Officer/Director/Trustee Three

CHERYL MITCHELL
SECRETARY
3102 WALDEN WAY
ST CLOUD MN 56301

Officer/Director/Trustee Four

BONNIE ATHMANN
VICE- PRESIDENT
1214 MILLSTONE CT
ST CLOUD MN 56301

Organization’s website STCLOUDTIGERLAX.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 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
Signature Title
Signature Date

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