FORM 1023-EZ for VIKING BOOSTER CLUB

Field Data
EIN 84-2359060
Case Number EO-2019231-000242
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VIKING BOOSTER CLUB
Organization’s Mailing Address 21147 HIDEAWAY LN
City SAINT ROBERT
State MO
ZIP 65584
Accounting period End 12
Primary contact name RACHEL RILEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTIN WYCOFF
PRESIDENT
25301 N HWY 133
RICHLAND MO 65556

Officer/Director/Trustee Two

DARREN RUTH
VICE PRESIDENT
23124 ROSETTE RD
WAYNESVILLE MO 65583

Officer/Director/Trustee Three

RACHEL RILEY
TREASURER
21147 HIDEAWAY LN
SAINT ROBERT MO 65584

Officer/Director/Trustee Four

MITCHELL FORTNER
SECRETARY
24480-1 SESAME DR
WAYNESVILLE MO 65583

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/19
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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 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 No
Correctness Declaration Yes
Signature Name RACHEL RILEY
Signature Title TREASURER
Signature Date 8/15/19

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