FORM 1023-EZ for ILLINOIS VALLEY BOOSTER CLUB

Field Data
EIN 93-0944590
Case Number EO-2016061-000081
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ILLINOIS VALLEY BOOSTER CLUB
Organization’s Mailing Address 625 E RIVER ST
City CAVE JUNCTION
State OR
ZIP 97523
Accounting period End 6
Primary contact name GENE MERRILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HEATHER MCLANAHAN
CHAIR
PO BOX 2316
CAVE JUNCTION OR 97523

Officer/Director/Trustee Two

SERENA RITTENHOUSE-BARRY
VICE-CHAIR
PO BOX 775
SELMA OR 97538

Officer/Director/Trustee Three

SUSAN BOIGON
SECRETARY
PO BOX 36
CAVE JUNCTION OR 97523

Officer/Director/Trustee Four

GENE MERRILL
TREASURER
24970 REDWOOD HWY BOX 3243
KERBY OR 97531

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/1987
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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