FORM 1023-EZ for ESSEX ATHLETIC BOOSTER CLUB

Field Data
EIN 42-1478516
Case Number EO-2017278-000434
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ESSEX ATHLETIC BOOSTER CLUB
Organization’s Mailing Address PO BOX 437
City ESSEX
State IA
ZIP 51638
Accounting period End 7
Primary contact name JEAN FRANK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIKE JOHNSON
PRESIDENT
1780 110TH ST
ESSEX IA 51638

Officer/Director/Trustee Two

STEPHANIE BURNISON
VICE PRESIDENT
1375 190TH ST
SHENANDOAH IA 51601

Officer/Director/Trustee Three

JEAN FRANK
SECRETARY/TREASURER
1401 STATE HWY 48
ESSEX IA 51638

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2017
Organization Incorporation State IA
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: 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 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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