FORM 1023-EZ for LEVITATE BOOSTER CLUB

Field Data
EIN 47-4959349
Case Number EO-2015257-000544
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEVITATE BOOSTER CLUB
Organization’s Mailing Address PO BOX 351701
City WESTMINSTER
State CO
ZIP 80035-1701
Accounting period End 5
Primary contact name PAULA MEHLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAULA MEHLE
PRESIDENT
PO BOX 351701
WESTMINSTER CO 80035-1701

Officer/Director/Trustee Two

MIKAYLA HOUSER
VICE PRESIDENT
PO BOX 351701
WESTMINSTER CO 80035-1701

Officer/Director/Trustee Three

NATALIE NISSING
SECRETARY
PO BOX 351701
WESTMINSTER CO 80035-1701

Officer/Director/Trustee Four

MONICA HARRIS
TREASURER
PO BOX 351701
WESTMINSTER CO 80035-1701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/2015
Organization Incorporation State CO
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: No
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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