FORM 1023-EZ for AVHS WOMENS SOCCER BOOSTER CLUB

Field Data
EIN 82-5224222
Case Number EO-2018113-000624
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AVHS WOMENS SOCCER BOOSTER CLUB
Organization’s Mailing Address 14808 SUMMIT OAKS DRIVE
City BURNSVILLE
State MN
ZIP 55337
Accounting period End 3
Primary contact name MARTY CHRISTIANSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TINA DERBY
PRESIDENT
417 WALNUT LANE
APPLE VALLEY MN 55124

Officer/Director/Trustee Two

CARLA CHRISTIANSEN
VICE-PRESIDENT
16020 HARVARD DR
LAKEVILLE MN 55044

Officer/Director/Trustee Three

JAMES FRIEDEL
TREASURER
14808 SUMMIT OAKS DRIVE
BURNSVILLE MN 55337

Officer/Director/Trustee Four

TAUFIQ AHMED
SECRETARY
880 HOPEWELL LANE
APPLE VALLEY MN 55124

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: No
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 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 JAMES FRIEDEL
Signature Title TREASURER
Signature Date 4/20/18

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