FORM 1023-EZ for LITCHFIELD GYMNASTICS BOOSTER CLUB

Field Data
EIN 46-4623475
Case Number EO-2015120-000173
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LITCHFIELD GYMNASTICS BOOSTER CLUB
Organization’s Mailing Address 717 WEST 7TH ST
City LITCHFIELD
State MN
ZIP 55355-1638
Accounting period End 12
Primary contact name KATHY CRUZE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATHY CRUZE
PRESIDENT
717 WEST 7TH ST
LITCHFIELD MN 55355-1638

Officer/Director/Trustee Two

STACY PENK
VICE PRESIDENT
403 NORTH HOLCOMBE AVE
LITCHFIELD MN 55355

Officer/Director/Trustee Three

BRIAN CRUZE
SECRETARY
717 WEST 7TH ST
LITCHFIELD MN 55355-1638

Officer/Director/Trustee Four

DEREK PENK
TREASURER
403 NORTH HOLCOMBE AVE
LITCHFIELD MN 55355

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 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
Signature Title
Signature Date

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