FORM 1023-EZ for MYLES AHEAD BOOSTER CLUB

Field Data
EIN 81-2331205
Case Number EO-2017283-000316
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MYLES AHEAD BOOSTER CLUB
Organization’s Mailing Address PO BOX 1375
City ROHNERT PARK
State CA
ZIP 94927-1375
Accounting period End 6
Primary contact name JOHN M NYKAMP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARLENE SCHRIJVER
PRESIDENT
1460 LORRAINE WAY
SANTA ROSA CA 95404-9602

Officer/Director/Trustee Two

STEFAN ZECHOWY
SECRETARY
3884 SAGE HILL PL
SANTA ROSA CA 95404-7696

Officer/Director/Trustee Three

JOHN NYKAMP
TREASURER
4510 HILLVIEW CT
ROHNERT PARK CA 94928-1474

Officer/Director/Trustee Four

PAUL MARINI
DIRECTOR
297 PALM AVE
PENNGROVE CA 94951-9676

Officer/Director/Trustee Five

JUDE PROKOP
DIRECTOR
309 EAGLE DR
COTATI CA 94931-4398

Organization’s website NONE
Organization’s email BOOSTERS@MYLESAHEADBC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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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