FORM 1023-EZ for SYNERGY BOOSTERS INC

Field Data
EIN 46-1334165
Case Number EO-2014274-000302
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SYNERGY BOOSTERS INC
Organization’s Mailing Address 549 ZOR SHRINE PLACE
City MADISON
State WI
ZIP 53719
Accounting period End 8
Primary contact name TAMMY PETER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ERIN CROCHET
PRESIDENT
5713 ROSSLARE LN
FITCHBURG WI 53711

Officer/Director/Trustee Two

TAMMY WE
VICE PRESIDENT
116 VALLEY VIEW ROAD
MOUNT HOREB WI 53572

Officer/Director/Trustee Three

SARAH STATZ
SECRETARY
1717 LUDDEN DRIVE
CROSS PLAINS WI 53528

Officer/Director/Trustee Four

TAMMY PETER
TREASURER
7252 SQUIRE CIR
MIDDLETON WI 53562

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/2012
Organization Incorporation State WI
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: 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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