FORM 1023-EZ for OSSEO FOOTBALL BOOSTER CLUB

Field Data
EIN 82-2101997
Case Number EO-2018072-000230
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OSSEO FOOTBALL BOOSTER CLUB
Organization’s Mailing Address 317 2ND AVE NW
City OSSEO
State MN
ZIP 55369
Accounting period End 12
Primary contact name BRENDA DOUBLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRENDA DOUBLER
VICE-PRESIDENT
8501 ROSEWOOD COURT
MAPLE GROVE MN 55369

Officer/Director/Trustee Two

KRISTEN THEISEN
PRESIDENT
8501 ROSEWOOD COURT
MAPLE GROVE MN 55369

Officer/Director/Trustee Three

ANGELA GRANT
SECRETARY
8501 ROSEWOOD COURT
MAPLE GROVE MN 55369

Officer/Director/Trustee Four

TONY TEKHAUS
TREASURER
8501 ROSEWOOD COURT
MAPLE GROVE MN 55369

Officer/Director/Trustee Five

RYAN STOCKHAUS
HEAD COACH/CHAIRPERSON
8501 ROSEWOOD COURT
MAPLE GROVE MN 55369

Organization’s website WWW.OSSEOFOOTBALL.COM
Organization’s email OSSEOFOOTBALLBOOSTERS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/99
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - 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 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 BRENDA DOUBLER
Signature Title VICE-PRESIDENT
Signature Date 3/11/18

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