FORM 1023-EZ for FIRE STAR GYMNASTICS BOOSTER CLUB

Field Data
EIN 82-1710091
Case Number EO-2017160-000256
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FIRE STAR GYMNASTICS BOOSTER CLUB
Organization’s Mailing Address 100 SOUTHERN AVENUE
City UNDERWOOD
State MN
ZIP 56586
Accounting period End 6
Primary contact name RICHARD A CONDIFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD CONDIFF
PRESIDENT
38413 FRONT STREET
BATTLE LAKE MN 56515

Officer/Director/Trustee Two

MELISSA OLSON
VICE PRESIDENT
314 PHELPS MILL ROAD
UNDERWOOD MN 56586

Officer/Director/Trustee Three

KATHY BURGAU
TREASURER
18305 COUNTY HWY 33
FERGUS FALLS MN 56537

Officer/Director/Trustee Four

BRITTNEY EBERT
SECRETARY
206 MAIN STREET EAST
UNDERWOOD MN 56586

Officer/Director/Trustee Five

GAYLENE SMITH
DIRECTOR
23195 RUS DIC TRAIL
FERGUS FALLS MN 56537

Organization’s website WWW.FIRESTARGYMNASTICS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/2017
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: No
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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