FORM 1023-EZ for EAGLE RIVER BOYS BASKETBALL BOOSTERCLUB

Field Data
EIN 56-2534811
Case Number EO-2017072-000430
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EAGLE RIVER BOYS BASKETBALL BOOSTERCLUB
Organization’s Mailing Address 8701 YOSEMITE DRIVE
City EAGLE RIVER
State AK
ZIP 99577
Accounting period End 12
Primary contact name TOM J ROLLMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOM ROLLMAN
PRESIDENT
19541 CICUTTA WAY
EAGLE RIVER AK 99577

Officer/Director/Trustee Two

ANTHONY PIPER
VICE PRESIDENT
20131 CONSTITUTION DR
EAGLE RIVER AK 99577

Officer/Director/Trustee Three

KRISTIN STUDLEY
SECRETARY
10235 SILVERTIP CIR
EAGLE RIVER AK 99577

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/2009
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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