FORM 1023-EZ for SLP TRACK BOOSTER CLUB

Field Data
EIN 46-5199630
Case Number EO-2015133-000048
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SLP TRACK BOOSTER CLUB
Organization’s Mailing Address 1338 JERSEY AVENUE SOUTH UNIT 3
City ST LOUIS PARK
State MN
ZIP 55426
Accounting period End 12
Primary contact name SHAWN HERMANSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TONY SWENSON
PRESIDENT
9573 MONROE STREET NE
BLAINE MN 54499

Officer/Director/Trustee Two

GEORGE WALTER
VICE PRESIDENT
10550 YANCY COURT
BLAINE MN 55449

Officer/Director/Trustee Three

BART ANGELA ANDERSON
TREASURER
8545 COTTAGEWOOD TERRACE NE
BLAINE MN 55434

Officer/Director/Trustee Four

TRACY SHERBERT
SECRETARY
9403 JAMESTOWN STREET NE
BLAINE MN 55449

Officer/Director/Trustee Five

LISA MIKE OJILE
MEMBERS AT LARGE
2474 TOURNAMENT PLAYERS CIRCLE S
BLAINE MN 55449

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/2014
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: 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 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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