FORM 1023-EZ for SOUTH HIGH GIRLS BASKETBALL BOOSTERS

Field Data
EIN 47-5655075
Case Number EO-2016133-000226
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH HIGH GIRLS BASKETBALL BOOSTERS
Organization’s Mailing Address 1833 FRANKLIN AVE SE
City MINNEAPOLIS
State MN
ZIP 55414
Accounting period End 12
Primary contact name CURT KIETZER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JORDAN CUSHING
PRESIDENT/DIRECTOR
1833 FRANKLIN AVE SE
MINNEAPOLIS MN 55414

Officer/Director/Trustee Two

CURT KIETZER
TREASURER/DIRECTOR
1833 FRANKLIN AVE SE
MINNEAPOLIS MN 55414

Officer/Director/Trustee Three

DEBRA BENTFIELD
SECRETARY/DIRECTOR
4448 18TH AVENUE SOUTH
MINNEAPOLIS MN 55407

Organization’s website
Organization’s email CURT.KIETZER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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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