FORM 1023-EZ for WELDON VALLEY BOOSTER CLUB

Field Data
EIN 81-1794224
Case Number EO-2019311-000084
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WELDON VALLEY BOOSTER CLUB
Organization’s Mailing Address PO BOX 636
City WELDONA
State CO
ZIP 80653
Accounting period End 12
Primary contact name JONATHON ADAM BAESSLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NIKKI BAESSLER
TREASURER
19601 COUNTY ROAD 13
FORT MORGAN CO 80701

Officer/Director/Trustee Two

ERIKA GROVES
PRESIDENT
21020 COUNTY ROAD 6-5
WELDONA CO 80653

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/16
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: Yes
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 Yes
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 NIKKI BAESSLER
Signature Title TREASURER
Signature Date 11/5/19

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