FORM 1023-EZ for PLEASANTVILLE ATHLETIC BOOSTER CLUB

Field Data
EIN 83-3432581
Case Number EO-2019039-000691
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PLEASANTVILLE ATHLETIC BOOSTER CLUB
Organization’s Mailing Address PO BOX 215
City PLEASANTVILLE
State IA
ZIP 50225
Accounting period End 12
Primary contact name MELISSA KAUFFMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREG COX
PRESIDENT
735 GEAR STREET
PLEASANTVILLE IA 50225

Officer/Director/Trustee Two

BECKY OLVIA
VICE PRESIDENT
262 MCKIMBER STREET
PLEASANTVILLE IA 50225

Officer/Director/Trustee Three

MELISSA KAUFFMAN
TREASURER
552 40TH AVE
PLEASANTVILLE IA 50225

Officer/Director/Trustee Four

DIANNA ELDER
SECRETARY
PO BOX 327
PLEASANTVILLE IA 50225

Organization’s website
Organization’s email PLEASANTVILLEBOOSTERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/19
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B84 - Alumni Associations
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 MELISSA KAUFFMAN
Signature Title TREASURER
Signature Date 2/5/19

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