FORM 1023-EZ for EASTVIEW GIRLS HOCKEY BOOSTER CLUB

Field Data
EIN 84-3489304
Case Number EO-2019301-000766
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EASTVIEW GIRLS HOCKEY BOOSTER CLUB
Organization’s Mailing Address 15937 ELMWOOD WAY
City APPLE VALLEY
State MN
ZIP 55124
Accounting period End 12
Primary contact name KELLY GRIFFITTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY BENADUM
PRESIDENT
15937 ELMWOOD WAY
APPLE VALLEY MN 55124

Officer/Director/Trustee Two

MIKE KELLY
VICE-PRESIDENT
1971 COVINGTON LANE
EAGAN MN 55122

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/24/19
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 JEFFREY BENADUM
Signature Title PRESIDENT
Signature Date 10/25/19

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