FORM 1023-EZ for WOLF DEN GYMNASTICS BOOSTER CLUB

Field Data
EIN 47-1242237
Case Number EO-2014272-000084
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WOLF DEN GYMNASTICS BOOSTER CLUB
Organization’s Mailing Address 6850 GLEN ROAD
City WOODBURY
State MN
ZIP 55129-9506
Accounting period End 5
Primary contact name SANDRA ALLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KELLI MICKELSON
PRESIDENT
8095 66TH STREET COURT
COTTAGE GROVE MN 55016-1219

Officer/Director/Trustee Two

REBECCA UNDERHILL
VICE PRESIDENT
1635 SUMMIT AVENUE
ST. PAUL PARK MN 55071-1498

Officer/Director/Trustee Three

SANDRA ALLEN
TREASURER
6850 GLEN ROAD
WOODBURY MN 55129-9506

Officer/Director/Trustee Four

ELAINE DIAZ
SECRETARY
7452 IDEAL AVENUE SOUTH
COTTAGE GROVE MN 55016-2013

Officer/Director/Trustee Five

LINNAE SMITH
FUNDRAISING COORDINATOR
7877 67TH STREET COURT SOUTH
COTTAGE GROVE MN 55016-1224

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/2014
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 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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