FORM 1023-EZ for WBLAHS BOYS SWIM AND DIVE BOOSTER CLUB

Field Data
EIN 82-2427736
Case Number EO-2017285-000086
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WBLAHS BOYS SWIM AND DIVE BOOSTER CLUB
Organization’s Mailing Address 3027 DULUTH ST
City MAPLEWOOD
State MN
ZIP 55109
Accounting period End 6
Primary contact name KELLY LENZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY LENZ
SECRETARY/TREASURER
3027 DULUTH ST
MAPLEWOOD MN 55109

Officer/Director/Trustee Two

MELISSA JOHNSON
PRESIDENT
1581 PARK AVENUE
WHITE BEAR LK MN 55110

Officer/Director/Trustee Three

LISA WESTMAN
VICE-PRESIDENT
3757 DENNIS LN
WHITE BEAR LK MN 55110

Organization’s website WBLAHS.WIXSITE.COM/WBLBOYSSWIMANDDIVE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/2017
Organization Incorporation State MN
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: 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 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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