FORM 1023-EZ for TREYNOR COMMUNITY ATHLETIC BOOSTERCLUB

Field Data
EIN 81-3002103
Case Number EO-2016258-000185
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TREYNOR COMMUNITY ATHLETIC BOOSTERCLUB
Organization’s Mailing Address PO BOX 512
City TREYNOR
State IA
ZIP 51575-7294
Accounting period End 7
Primary contact name GREG TIARKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL PRYOR
PRESIDENT
16971 235TH ST
COUNCIL BLUFFS IA 51503-7817

Officer/Director/Trustee Two

RUSS MAGUIRE
VICE PRESIDENT
14490 300TH ST
TREYNOR IA 51575-7294

Officer/Director/Trustee Three

GREG TIARKS
TREASURER
17719 DOOLEY DR
COUNCIL BLUFFS IA 51503

Officer/Director/Trustee Four

JOSH BINTZ
SECRETARY
24396 HIGHWAY 92
COUNCIL BLUFFS IA 51503-5848

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/2016
Organization Incorporation State IA
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 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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