FORM 1023-EZ for WEST BURLINGTON ATHLETIC BOOSTER CLUB INC

Field Data
EIN 20-1589888
Case Number EO-2016020-000492
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WEST BURLINGTON ATHLETIC BOOSTER CLUB INC
Organization’s Mailing Address 408 WEST VAN WEISS
City WEST BURLINGTON
State IA
ZIP 52655
Accounting period End 7
Primary contact name NATHANIEL PRICKETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NATHANIEL PRICKETT
PRESIDENT
1600 EMERALD DR
WEST BURLINGTON IA 52655

Officer/Director/Trustee Two

RONNIE STEWART
VICE PRESIDENT
1946 SUNNYSIDE
BURLINGTON IA 52655

Officer/Director/Trustee Three

JEFF HOUSEL
TREASURER
605 PARK PL
WEST BURLINGTON IA 52655

Officer/Director/Trustee Four

MELISSA MIXER
SECRETARY
118 SWAN STREET
WEST BURLINGTON IA 52655

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2007
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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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