FORM 1023-EZ for APPLE VALLEY HIGH SCHOOL BOYS HOCKEY BOOSTER CLUB

Field Data
EIN 41-1719904
Case Number EO-2015127-000335
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name APPLE VALLEY HIGH SCHOOL BOYS HOCKEY BOOSTER CLUB
Organization’s Mailing Address 14450 HAYES ROAD
City APPLE VALLEY
State MN
ZIP 55124
Accounting period End 12
Primary contact name TRACY EVERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEVE PLAGGE
PRESIDENT
13655 GUILD AVENUE
APPLE VALLEY MN 55124

Officer/Director/Trustee Two

MIKE LOGE
VICE PRESIDENT
14650 HALLMARK DRIVE
APPLE VALLEY MN 55124

Officer/Director/Trustee Three

LISA LOGE
SECRETARY
14650 HALLMARK DRIVE
APPLE VALLEY MN 55124

Officer/Director/Trustee Four

PEGGY PENZ
TREASURER
16163 GUNFLINT CIRCLE
LAKEVILLE MN 55044

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2000
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N40 - Sports Training Facilities, Agencies
Organization’s purpose Charitable: No
Religious: No
Educational: No
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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