FORM 1023-EZ for POLSON ATHLETIC BOOSTER CLUB

Field Data
EIN 81-0408679
Case Number EO-2016270-000177
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POLSON ATHLETIC BOOSTER CLUB
Organization’s Mailing Address 111 4TH AVE E
City POLSON
State MT
ZIP 59860
Accounting period End 6
Primary contact name LISA SLAMA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATE LUNDEEN
PRESIDENT
111 4TH AVE E
POLSON MT 59860

Officer/Director/Trustee Two

SHELLEY CROFT
VICE-PRESIDENT
111 4TH AVE E
POLSON MT 59860

Officer/Director/Trustee Three

PAM CARRUTH
SECRETARY
111 4TH AVE E
POLSON MT 59860

Officer/Director/Trustee Four

LISA SLAMA
TREASURER
111 4TH AVE E
POLSON MT 59860

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2008
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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