FORM 1023-EZ for LITTLE VIKINGS BOOSTER CLUB

Field Data
EIN 83-3566191
Case Number EO-2019193-000232
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LITTLE VIKINGS BOOSTER CLUB
Organization’s Mailing Address 403 EAST STREET WEST
City VALE
State OR
ZIP 97918
Accounting period End 12
Primary contact name JAMI HART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMI HART
PRESIDENT OF CLUB
403 EAST STREET WEST
VALE OR 97918

Officer/Director/Trustee Two

MICHELLE PARKER
VICE PRESIDENT
403 EAST STREET WEST
VALE OR 97918

Officer/Director/Trustee Three

JANIE KELLER
TREASURER
403 EAST STREET WEST
VALE OR 97918

Officer/Director/Trustee Four

HEATHER YARDLEY
SECRETARY
403 EAST STREET WEST
VALE OR 97918

Organization’s website
Organization’s email LITTLEVALEVIKINGS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/19
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAMI HART
Signature Title PRESIDENT OF CLUB
Signature Date 7/10/19

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