FORM 1023-EZ for LAKERS WRESTLING BOOSTER CLUB

Field Data
EIN 47-4266192
Case Number EO-2018088-000105
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKERS WRESTLING BOOSTER CLUB
Organization’s Mailing Address 10430 COUNTY ROAD 15 W
City MINOT
State ND
ZIP 58701-9629
Accounting period End 1
Primary contact name DIONNE SPOONER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL BARTUSKA
PRESIDENT
5400 86TH ST SW
MINOT ND 58701

Officer/Director/Trustee Two

JOANN WAHUS
VICE PRESIDENT
10350 72ND ST NW
MINOT ND 58703

Officer/Director/Trustee Three

ZOEY WINKLER
TREASURE
6611 8TH AVE NW
MINOT ND 58703

Officer/Director/Trustee Four

DIONNE SPOONER
SECRETARY
10430 COUNTY ROAD 15 W
MINOT ND 58703

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/15
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ZOEY WINKLER
Signature Title TREASURE
Signature Date 3/27/18
EIN 47-4266192
Case Number EO-2015190-000314
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKER WRESTLING BOOSTER CLUB
Organization’s Mailing Address 10430 COUNTY ROAD 15 W
City MINOT
State ND
ZIP 58703-9629
Accounting period End 7
Primary contact name DIONNE SPOONER PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DIONNE SPOONER
PRESIDENT
10430 COUNTY ROAD 15 W
MINOT ND 58703-9629

Officer/Director/Trustee Two

ZOEY WINKLER
VICE PRESIDENT
6611 8TH AVE NW
MINOT ND 58703

Officer/Director/Trustee Three

MIKE BARTUSKA
SECRETARY
5400 86TH ST W
MINOT ND 58701

Officer/Director/Trustee Four

TAMMI MOEN
TREASURER
20500 HWY 52 N
FOXHOLM ND 58718

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2015
Organization Incorporation State ND
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: 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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