FORM 1023-EZ for NORTH PARK BOOSTER CLUB

Field Data
EIN 85-1524983
Case Number EO-2021091-000842
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH PARK BOOSTER CLUB
Organization’s Mailing Address 1331 JACKSON COUNTY ROAD 12 WEST
City WALDEN
State CO
ZIP 80480
Accounting period End 3
Primary contact name KELLI PITTINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLI PITTINGTON
PRESIDENT
1331 JACKSON COUNTY ROAD 12 WEST
WALDEN CO 80480

Officer/Director/Trustee Two

JENNY BLEVINS
VICE PRESIDENT
43 COUNTY ROAD 2A
WALDEN CO 80480

Officer/Director/Trustee Three

JAIME SESSIONS
SECRETARY
33492 HIGHWAY 125
WALDEN CO 80480

Officer/Director/Trustee Four

MICHELLE MYERS
TREASURER
331 LOGAN ST
WALDEN CO 80480

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/2020
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
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 KELLI PITTINGTON
Signature Title PRESIDENT
Signature Date 2/23/2021

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