FORM 1023-EZ for OTC FOOTBALL BOOSTER CLUB

Field Data
EIN 81-2795148
Case Number EO-2016193-000459
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OTC FOOTBALL BOOSTER CLUB
Organization’s Mailing Address 104 TRINA LANE
City BATTLE LAKE
State MN
ZIP 56515
Accounting period End 12
Primary contact name CHARLES M OLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES OLSON
PRESIDENT DIRECTOR
104 TRINA LANE
BATTLE LAKE MN 56515

Officer/Director/Trustee Two

DAVE HIMMELSPACH
DIRECTOR
208 N MADISON AVE
BATTLE LAKE MN 56515

Officer/Director/Trustee Three

JEFF DRAKE
DIRECTOR
38497 WALKER LAKE DR
RICHVILLE MI 56576

Officer/Director/Trustee Four

DAVID MARSO
DIRECTOR
20112 COUNTY HIGHWAY 5
CLITHERALL MN 56524

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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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