FORM 1023-EZ for KASSON-MANTORVILLE HIGH SCHOOL FOOTBALL BOOSTER CLUB

Field Data
EIN 85-2351327
Case Number EO-2020220-000042
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KASSON-MANTORVILLE HIGH SCHOOL FOOTBALL BOOSTER CLUB
Organization’s Mailing Address 1401 1ST AVENUE CIRCLE NE
City KASSON
State MN
ZIP 55944
Accounting period End 12
Primary contact name MARK PETERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK PETERSON
PRESIDENT
1401 1ST AVENUE CIR NE
KASSON MN 55944

Officer/Director/Trustee Two

LYNN LAURES
VICE PRESIDENT
807 8TH STREET NW
KASSON MN 55944

Officer/Director/Trustee Three

MELISSA SWARTS
TREASURER
61011 220TH AVENUE
MANTORVILLE MN 55955

Officer/Director/Trustee Four

TROY BROWN
SECRETARY
508 15TH AVENUE
KASSON MN 55944

Officer/Director/Trustee Five

JEREMY BIGELOW
BOARD MEMBER
703 20TH STREET NE
KASSON MN 55944

Organization’s website KOMETFOOTBALL.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/2020
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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 Yes
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 MARK PETERSON
Signature Title PRESIDENT
Signature Date 8/5/2020

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