FORM 1023-EZ for CULBERTSON BOOSTER CLUB

Field Data
EIN 47-5259686
Case Number EO-2015282-000388
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CULBERTSON BOOSTER CLUB
Organization’s Mailing Address PO BOX 852
City CULBERTSON
State MT
ZIP 59218
Accounting period End 12
Primary contact name VALLI HAUGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VALLI HAUGE
PRESIDENT
422 1ST AVE W
CULBERTSON MT 59218-0852

Officer/Director/Trustee Two

AMANDA CULLINAN
VICE PRESIDENT
BOX 852
CULBERTSON MT 59218-0852

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2015
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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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