FORM 1023-EZ for PCHS GIRLS BASKETBALL BOOSTER CLUB

Field Data
EIN 47-3075017
Case Number EO-2015054-000344
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PCHS GIRLS BASKETBALL BOOSTER CLUB
Organization’s Mailing Address 7300 BROOKLYN BLVD
City BROOKLYN PARK
State MN
ZIP 55443-3301
Accounting period End 10
Primary contact name GIRLS BASKETBALL HEAD COACH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BOB DUBOIS
PRESIDENT
8943 FARNSWORTH AVE N
BROOKLYN PARK MN 55443

Officer/Director/Trustee Two

STEVE AUDETTE
VICE PRESIDENT
9821 LINDEN AVE N
BROOKLYN PARK MN 55443

Officer/Director/Trustee Three

DIANE SCHAUB
SECRETARY
8918 TRINITY GARDENS
BROOKLYN PARK MN 55443

Officer/Director/Trustee Four

PAT SIMONET
TREASURER
9200 WOODHALL BAY
BROOKLYN PARK MN 55443

Organization’s website
Organization’s email PARKCENTERGBB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2015
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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 Yes
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 Yes
One Third Support Gifts No
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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