FORM 1023-EZ for LESLIE BLACKHAWK ATHLETIC BOOSTERS

Field Data
EIN 86-2731171
Case Number EO-2021099-000669
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LESLIE BLACKHAWK ATHLETIC BOOSTERS
Organization’s Mailing Address 4141 HULL ROAD
City LESLIE
State MI
ZIP 49251
Accounting period End 12
Primary contact name HENRIETTA L TOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HENRIETTA TOW
DIRECTOR
4683 BELLEVUE ROAD
ONONDAGA MI 49264

Officer/Director/Trustee Two

TOBY TEAGUE
CHAIR
PO BOX 21
LESLIE MI 49251

Officer/Director/Trustee Three

LORI FEDEWA
TREASURER
613 RICE ROAD
LESLIE MI 49251

Officer/Director/Trustee Four

NICOLE MANGLES
DIRECTOR
4104 CRAIN ROAD
LESLIE MI 49264

Officer/Director/Trustee Five

CINDY CRESHER
SECRETARY
4141 HULL ROAD
LESLIE MI 49251

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/2021
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 Yes
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 HENRIETTA TOW
Signature Title DIRECTOR
Signature Date 3/28/2021

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