FORM 1023-EZ for WOLVERINE BOOSTER CLUB

Field Data
EIN 61-1501302
Case Number EO-2017135-000129
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WOLVERINE BOOSTER CLUB
Organization’s Mailing Address 6530 W 16TH STREET
City GREELEY
State CO
ZIP 80634
Accounting period End 6
Primary contact name KIM HURT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN ROTH
PRESIDENT
6530 W 16TH STREET
GREELEY CO 80634

Officer/Director/Trustee Two

TOM MILLMAN
VICE PRESIDENT
6530 W 16TH STREET
GREELEY CO 80634

Officer/Director/Trustee Three

AMANDA EDWARDS
SECRETARY
6530 W 16TH STREET
GREELEY CO 80634

Officer/Director/Trustee Four

SALLY OTTO
TREASURER
6530 W 16TH STREET
GREELEY CO 80634

Officer/Director/Trustee Five

JULIE HARE
CONCESSIONS
6530 W 16TH STREET
GREELEY CO 80634

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2005
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 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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