FORM 1023-EZ for BUFFALO BISON GIRLS SWIM AND DIVE BOOSTERS

Field Data
EIN 82-0948096
Case Number EO-2017123-000268
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BUFFALO BISON GIRLS SWIM AND DIVE BOOSTERS
Organization’s Mailing Address 260 JANSEN AVENUE NE
City HANOVER
State MN
ZIP 55341
Accounting period End 12
Primary contact name LISA POLZIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE DREWS
PRESIDENT
5245 79TH AVE N
GREENFIELD MN 55357

Officer/Director/Trustee Two

LISA POLZIN
TREASURER
260 JANSEN AVE NE
HANOVER MN 55341

Officer/Director/Trustee Three

RENEE KOSEK
VICE PRESIDENT
1250 CULVER AVE NW
BUFFALO MN 55313

Officer/Director/Trustee Four

TARA SCHENDEL
SECRETARY
5950 HARFF ROAD
GREENFIELD MN 55357

Organization’s website
Organization’s email LISA@POLZINS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N67 - Swimming, Water Recreation
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 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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