FORM 1023-EZ for ZEPHYR HOCKEY BOOSTER CLUB

Field Data
EIN 83-2587783
Case Number EO-2018337-000225
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ZEPHYR HOCKEY BOOSTER CLUB
Organization’s Mailing Address 105 HARDMAN COURT SUITE110
City SOUTH SAINT PAUL
State MN
ZIP 55075
Accounting period End 12
Primary contact name JENNIFER URBAN - CAF 0308-14263R
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRENT BORGEN
PRESIDENT + DIRECTOR
PO BOX 737
LAKELAND MN 55043

Officer/Director/Trustee Two

JEFF POESCHL
VICE PRESIDENT + DIRECTOR
5272 PORTLAND AVE
WHITE BEAR LAKE MN 55110

Officer/Director/Trustee Three

SCOTT SAVAGE
SECRETARY + DIRECTOR
1337 HILLSWICK PLACE
MAHTOMEDI MN 55115

Officer/Director/Trustee Four

ALEX ROGOSHESKE
TREASURER + DIRECTOR
105 HARMAND COURT SUITE 110
SOUTH SAINT PAUL MN 55075

Officer/Director/Trustee Five

MARKO ZITZER
IT DIRECTOR + DIRECTOR
1861 OAK GLEN DRIVE
STILLWATER MN 55082

Organization’s website HTTP://WWW.ZEPHYRHOCKEYALUMNI.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/28/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
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 Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALEX ROGOSHESKE
Signature Title TREASURER + DIRECTOR
Signature Date 11/29/18

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