FORM 1023-EZ for LAKOTA MUSIC BOOSTERS

Field Data
EIN 87-0782808
Case Number EO-2016279-000066
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKOTA MUSIC BOOSTERS
Organization’s Mailing Address 5200 COUNTY ROAD 13
City KANSAS
State OH
ZIP 44841-9614
Accounting period End 6
Primary contact name THERESA BELOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THERESA BELOW
PRESIDENT
5200 COUNTY ROAD 13
KANSAS OH 44841-9614

Officer/Director/Trustee Two

MARLENE MASON
SECRETARY
5200 COUNTY ROAD 13
KANSAS OH 44841-9614

Officer/Director/Trustee Three

SUE ZUELZKE
TREASURER
5200 COUNTY ROAD 13
KANSAS OH 44841-9614

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6C - Music Groups, Bands, Ensembles
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
Signature Title
Signature Date

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