FORM 1023-EZ for FOREST LAKE HIGH SCHOOL SOFTBALL BOOSTER CLUB

Field Data
EIN 83-2709634
Case Number EO-2019036-000941
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOREST LAKE HIGH SCHOOL SOFTBALL BOOSTER CLUB
Organization’s Mailing Address 6101 SCANDIA TRAIL NORTH
City FOREST LAKE
State MN
ZIP 55025
Accounting period End 12
Primary contact name ROBERT GEMUENDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT GEMUENDEN
PRESIDENT
20655 JUNO AVE N
FOREST LAKE MN 55025

Officer/Director/Trustee Two

KELLY EISCHEN
VICE PRESIDENT
5158 201ST ST N
FOREST LAKE MN 55025

Officer/Director/Trustee Three

KRYSTAL NEWTON
TREASURER
8470 212TH ST N
FOREST LAKE MN 55025

Officer/Director/Trustee Four

KIMBERLY BAKKESTUEN
SECRETARY
20890 IVYWOOD AVE N
FOREST LAKE MN 55025

Organization’s website
Organization’s email FLSOFTBALLBOOSTERCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/8/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - 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 ROBERT GEMUENDEN
Signature Title PRESIDENT
Signature Date 1/22/19

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