FORM 1023-EZ for BISMARCK HIGH SCHOOL BOYS BASKETBALL FOUNDATION

Field Data
EIN 81-1126515
Case Number EO-2016132-000169
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BISMARCK HIGH SCHOOL BOYS BASKETBALL FOUNDATION
Organization’s Mailing Address 1200 INDUSTRIAL DRIVE
City BISMARCK
State ND
ZIP 58501
Accounting period End 4
Primary contact name SANDRA KELLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GLEN HELLEBUST
PRESIDENT
2535 YORKTOWN DRIVE
BISMARCK ND 58503

Officer/Director/Trustee Two

RANDY ZIEGLER
VICE PRESIDENT
2217 S 3RD ST
BISMARCK ND 58504

Officer/Director/Trustee Three

TAMI DOPPLER
SECRETARY
507 W BOULEVARD AVE
BISMARCK ND 58501

Officer/Director/Trustee Four

AMY SIVERSON
TREASURER
5677 FALCONER DR
BISMARCK ND 58504

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/2015
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
Organization’s purpose Charitable: No
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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