FORM 1023-EZ for MAPLE GROVE SENIOR HIGH BOYS SWIM & DIVE BOOSTER CLUB

Field Data
EIN 85-1019377
Case Number EO-2020143-000319
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MAPLE GROVE SENIOR HIGH BOYS SWIM & DIVE BOOSTER CLUB
Organization’s Mailing Address 9020 SCHUTTE CT
City CORCORAN
State MN
ZIP 55340-2110
Accounting period End 4
Primary contact name ELIZABETH BOTKIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH BOTKIN
TREASURER
9020 SCHUTTE CT
CORCORAN MN 55340-2110

Officer/Director/Trustee Two

RANAE PALLI
PRESIDENT
7583 KIMBERLY LN N
MAPLE GROVE MN 55311

Officer/Director/Trustee Three

DEBORAH SALBERG
VICE PRESIDENT
6770 QUEENSLAND LANE N
MAPLE GROVE MN 55311

Officer/Director/Trustee Four

ERICA BROLIN
SECRETARY
12569 88TH PL N
MAPLE GROVE MN 55311

Officer/Director/Trustee Five

ZIA MCNEAL
ASSISTANT TREASURER
6551 ORCHID LANE N
MAPLE GROVE MN 55311

Organization’s website HTTPS://WWW.TEAMUNIFY.COM/TEAM/RECMGBSD/PAGE/HOME
Organization’s email MGSWIMANDDIVE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2020
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: Yes
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 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 ELIZABETH BOTKIN
Signature Title TREASURER
Signature Date 5/20/2020

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