FORM 1023-EZ for PIZM GYMNASTICS BOOSTER CLUB

Field Data
EIN 83-1525888
Case Number EO-2018247-000303
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PIZM GYMNASTICS BOOSTER CLUB
Organization’s Mailing Address 223 1ST AVE SE
City PINE ISLAND
State MN
ZIP 55963
Accounting period End 12
Primary contact name ELLEN NEWMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TODD CORDES
PRESIDENT
40975 230TH AVE
MAZEPPA MN 55956

Officer/Director/Trustee Two

KATHY GORMAN
VICE PRESIDENT
8684 HALLORAN LANE NW
ROCHESTER MN 55901

Officer/Director/Trustee Three

JULIE KUBALL
SECRETARY
810 20TH AVE SE PO BOX 405
PINE ISLAND MN 55963

Officer/Director/Trustee Four

ELLEN NEWMAN
TREASURER
12929 COUNTY 11 BLVD
WANAMINGO MN 55983

Officer/Director/Trustee Five

TANYA CORDES
DIRECTOR
40975 230TH AVE
MAZEPPA MN 55956

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/18
Organization Incorporation State MN
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: 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ELLEN NEWMAN
Signature Title TREASURER
Signature Date 8/29/18

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