FORM 1023-EZ for BOTTINEAU ATHLETIC BOOSTERS INC

Field Data
EIN 84-2330247
Case Number EO-2019333-000169
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOTTINEAU ATHLETIC BOOSTERS INC
Organization’s Mailing Address PO BOX 141
City BOTTINEAU
State ND
ZIP 58318
Accounting period End 12
Primary contact name SHAWNA ALLARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWNA ALLARD
PRESIDENT
1449 HIGHWAY 5 NE
BOTTINEAU ND 58318

Officer/Director/Trustee Two

BRANDI SIMPSON
VICE PRESIDENT
1241 LAKE ROAD
BOTTINEAU ND 58318

Officer/Director/Trustee Three

CODI RYBCHINSKI
SECRETARY
1301 SOUTH THOMPSON
BOTTINAU ND 58318

Officer/Director/Trustee Four

LINDSEY GUSS
TREASURER
185 GREEN ACRES ROAD
BOTTINEAU ND 58318

Officer/Director/Trustee Five

ANN MOUM
PARENT REPRESENTATIVE
9755 19TH AVE NE
BOTTINEAU ND 58318

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/19
Organization Incorporation State ND
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: No
Religious: No
Educational: No
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 SHAWNA ALLARD
Signature Title PRESIDENT
Signature Date 11/26/19

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