FORM 1023-EZ for PLATTEVILLE SPORTS BOOSTERS

Field Data
EIN 47-1954896
Case Number EO-2014274-000281
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PLATTEVILLE SPORTS BOOSTERS
Organization’s Mailing Address 710 E MADISON ST
City PLATTEVILLE
State WI
ZIP 53818
Accounting period End 6
Primary contact name MICHELLE THOMSON-HENRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOEL GRAHAM
PRESIDENT
710 E MADISON ST
PLATTEVILLE WI 53818

Officer/Director/Trustee Two

PAM BROOKENS
VICE PRESIDENT
710 E MADISON ST
PLATTEVILLE WI 53818

Officer/Director/Trustee Three

MICHELLE THOMSON-HENRY
TREASURER
710 E MADISON ST
PLATTEVILLE WI 53818

Officer/Director/Trustee Four

TISCHA BUSCH
SECRETARY
710 E MADISON ST
PLATTEVILLE WI 53818

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2014
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N40 - Sports Training Facilities, Agencies
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 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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