FORM 1023-EZ for COMFREY PUBLIC SCHOOL CLAY CRUSHERSBOOSTER CLUB

Field Data
EIN 84-4070190
Case Number EO-2019360-000377
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMFREY PUBLIC SCHOOL CLAY CRUSHERSBOOSTER CLUB
Organization’s Mailing Address 101 GRAY ST W
City COMFREY
State MN
ZIP 56019
Accounting period End 12
Primary contact name JEN ENGLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER ENGLIN
PRESIDENT
212 EASTERN AVE S
COMFREY MN 56019

Officer/Director/Trustee Two

CHRIS ROMSDAHL
VICE PRESIDENT
37182 COUNTY ROAD 20
COMFREY MN 56019

Officer/Director/Trustee Three

STACIE SIMON
SECRETARY
26686 COUNTY ROAD 29
COMFREY MN 56019

Officer/Director/Trustee Four

GAIL LINGBEEK
TREASURER
101 GRAY ST W
COMFREY MN 56019

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/23/2019
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 JENNIFER ENGLIN
Signature Title PRESIDENT
Signature Date 12/23/2019

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