FORM 1023-EZ for CHANHASSEN LACROSSE BOOSTER CLUB

Field Data
EIN 84-3467724
Case Number EO-2019353-000309
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHANHASSEN LACROSSE BOOSTER CLUB
Organization’s Mailing Address PO BOX 309
City CHANHASSEN
State MN
ZIP 55317
Accounting period End 6
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

GREGG HOLCOMB
PRESIDENT & DIRECTOR
504 RAMSEY BAY
CARVER MN 55315

Officer/Director/Trustee Two

TOM SMITH
VICE PRESIDENT & DIRECTOR
1828 MARIGOLD CT
CHANHASSEN MN 55317

Officer/Director/Trustee Three

BILL BURTON
TREASURER & DIRECTOR
1944 CREEK VIEW CT
CHANHASSEN MN 55317

Officer/Director/Trustee Four

CHRIS KAUFMANN
SECRETARY & DIRECTOR
329 FULLERTON AVE
CARVER MN 55315

Officer/Director/Trustee Five

JON JUNKER
DIRECTOR
660 SAXONY CIR
CHASKA MN 55318

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/2018
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: 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 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 GREGG HOLCOMB
Signature Title PRESIDENT & DIRECTOR
Signature Date 12/17/2019

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