FORM 1023-EZ for ELK RIVER HIGH SCHOOL BOYS SWIM ANDDIVE TEAM BOOSTER CLUB INC

Field Data
EIN 47-2328732
Case Number EO-2016095-000478
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELK RIVER HIGH SCHOOL BOYS SWIM ANDDIVE TEAM BOOSTER CLUB INC
Organization’s Mailing Address 18596 SMITH ST NW
City ELK RIVER
State MN
ZIP 55330
Accounting period End 12
Primary contact name TIMOTHY LOEWENSTEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIMOTHY LOEWENSTEIN
PRESIDENT
18596 SMITH ST NW
ELK RIVER MN 55330

Officer/Director/Trustee Two

STEVE KOPP
VICE-PRESIDENT
8790 MASON AVE NE
OTSEGO MN 55330

Officer/Director/Trustee Three

CANDACE LOEWENSTEIN
SECRETARY
18596 SMITH ST NW
ELK RIVER MN 55330

Officer/Director/Trustee Four

BECKY HLAVECEK
TREASURER
18826 ALBANY ST NW
ELK RIVER MN 55330

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N67 - Swimming, Water Recreation
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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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