FORM 1023-EZ for BLAINE ANDOVER GYMNASTICS TEAM BOOSTER
| Field | Data |
|---|---|
| EIN | 81-5362060 |
| Case Number | EO-2017072-000524 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | BLAINE ANDOVER GYMNASTICS TEAM BOOSTER |
| Organization’s Mailing Address | 15823 NORWAY ST NW |
| City | ANDOVER |
| State | MN |
| ZIP | 55304 |
| Accounting period End | 12 |
| Primary contact name | DEBRA ISAACSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MOLLY MOSKALIK
PRESIDENT
13628 BRANT STREET NE
HAM LAKE MN 55304
Officer/Director/Trustee Two
MIKE SWENSON
VICE PRESIDENT
14331 WINTERGREEN STREET NW
ANDOVER MN 55304
Officer/Director/Trustee Three
DEBRA ISAACSON
TREASURER
15823 NORWAY ST NW
ANDOVER MN 55304
Officer/Director/Trustee Four
AMANDA CORNELIUS
MEMBER
14533 YELLOWPINE ST NW
ANDOVER MN 55304
Officer/Director/Trustee Five
MICHELLE BELLENCOURT
MEMBER
12975 VAN BUREN ST NE
BLAINE MN 55434
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/14/2017 |
| Organization Incorporation State | MN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B11 - Single Organization Support |
| 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 | |
| Signature Title | |
| Signature Date |
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