FORM 1023-EZ for 5678 ALL STARS BOOSTER CLUB

Field Data
EIN 32-0578112
Case Number EO-2018284-000035
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 5678 ALL STARS BOOSTER CLUB
Organization’s Mailing Address 851 BROOKSIDE DR
City JEFFERSON
State SD
ZIP 57038
Accounting period End 12
Primary contact name AMY LILLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHLEEN SALTZMAN
PRESIDENT
24 SPANISH BAY
DAKOTA DUNES SD 57049

Officer/Director/Trustee Two

AMY LILLY
TREASURER
851 BROOKSIDE DR
JEFFERSON SD 57038

Officer/Director/Trustee Three

TALLI POULSEN
SECRETARY
442 FIRETHORN TRAIL
DAKOTA DUNES SD 57049

Officer/Director/Trustee Four

ERIN HOEKSTRA
VICE PRESIDENT
293 BLUESTEM TRAIL
DAKOTA DUNES SD 57049

Officer/Director/Trustee Five

CARLA BEAVERS
DIRECTOR
328 LAKESHORE DRIVE
MCCOOK LAKE SD 57049

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/7/18
Organization Incorporation State SD
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: Yes
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 AMY LILLY
Signature Title TREASURER
Signature Date 10/6/18

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