FORM 1023-EZ for BSC BOBCATS BOOSTER CLUB

Field Data
EIN 81-2626556
Case Number EO-2016138-000297
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BSC BOBCATS BOOSTER CLUB
Organization’s Mailing Address PO BOX 26112
City WAUWATOSA
State WI
ZIP 53226-0112
Accounting period End 12
Primary contact name MATTHEW KLECZEWSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MATTHEW KLECZEWSKI
BOARD PRESIDENT
5740 PLEASANT HILL RD
HARTFORD WI

Officer/Director/Trustee Two

RICK BRANDNER
BOARD MEMBER
527 WINCHESTER PASS
COLGATE WI 53017

Officer/Director/Trustee Three

TIM RICHERT
BOARD MEMBER
W246 N6643 PEWAUKEE RD
SUSSEX WI 53089

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/13/2016
Organization Incorporation State WI
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: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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