FORM 1023-EZ for APPLE VALLEY GIRLS TENNIS BOOSTER CLUB

Field Data
EIN 82-1871399
Case Number EO-2017170-000213
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name APPLE VALLEY GIRLS TENNIS BOOSTER CLUB
Organization’s Mailing Address 100 INTERLACHEN ROAD
City BURNSVILLE
State MN
ZIP 55306
Accounting period End 12
Primary contact name MARYANN BORDAS KELLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER KELLY
PRESIDENT
100 INTERLLACHEN ROAD
BURNSVILLE MN 55306

Officer/Director/Trustee Two

BETH SULLIVAN
SECRETARY
13954 HOLYOKE COURT
APPLE VALLEY MN 55124

Officer/Director/Trustee Three

MARGE PHILLIPS
VICE PRESIDENT
15215 CRYSTAL DRIVE WEST
BURNSVILLE MN 55306

Officer/Director/Trustee Four

MARYANN BORDAS KELLY
TREASURER
100 INTERLACHEN ROAD
BURNSVILLE MN 55306

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 -
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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