FORM 1023-EZ for MUSKEGO WARRIORS SOCCER BOOSTER CLUB INC

Field Data
EIN 83-4608685
Case Number EO-2019133-000478
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MUSKEGO WARRIORS SOCCER BOOSTER CLUB INC
Organization’s Mailing Address W142 S7602 CONCORD COURT
City MUSKEGO
State WI
ZIP 53150
Accounting period End 12
Primary contact name BRENDA GROHALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN MERSENSKI
PRESIDENT AND DIRECTOR
W142
MUSKEGO WI 53150

Officer/Director/Trustee Two

JESSICA SCHNEIDER
VICE PRESIDENT AND DIRECTOR
W168S7979 PARKLAND DRIVE
MUSKEGO WI 53150

Officer/Director/Trustee Three

BRENDA GROHALL
TREASURER AND DIRECTOR
S86 W19220 WOODS ROAD
MUSKEGO WI 53150

Officer/Director/Trustee Four

LARAE MALINAUSKAS
SECRETARY AND DIRECTOR
S74W15172 APPLEWOOD LN
MUSKEGO WI 53150

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/19
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
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 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 SUSAN MERSENSKI
Signature Title PRESIDENT AND DIRECTOR
Signature Date 5/10/19

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