FORM 1023-EZ for BUFFALO BISON LACROSSE BOOSTER ASSOCIATION

Field Data
EIN 27-4077294
Case Number EO-2020052-000071
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BUFFALO BISON LACROSSE BOOSTER ASSOCIATION
Organization’s Mailing Address PO BOX 221
City BUFFALO
State MN
ZIP 55313
Accounting period End 12
Primary contact name VICKI SYMANIETZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANNON PEDERSEN
SECRETARY
2401 PLUM TREE CIRCLE
BUFFALO MN 55313

Officer/Director/Trustee Two

RICK NUSS
MEMBER-AT-LARGE
2417 MEADOW DRIVE
BUFFALO MN 55313

Officer/Director/Trustee Three

CORI STENBERG
MEMBER-AT-LARGE
1735 7TH STREET NW
BUFFALO MN 55313

Officer/Director/Trustee Four

LINDSAY WORTH
MEMBER-AT-LARGE
1303 BELLAVISTA COURT
BUFFALO MN 55313

Officer/Director/Trustee Five

VICKI SYMANIETZ
PRESIDENT
10768 106TH AVENUE NORTH
HANOVER MN 55341

Organization’s website HTTPS://SITES.GOOGLE.COM/SITE/BBLACROSSEBOOSTER
Organization’s email BUFFALOLACROSSEBOOSTERS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/2010
Organization Incorporation State MN
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 VICKI SYMANIETZ
Signature Title PRESIDENT
Signature Date 2/19/2020

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