FORM 1023-EZ for PALISADE HIGH SCHOOL BOOSTER CLUB

Field Data
EIN 90-0416854
Case Number EO-2015016-000064
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PALISADE HIGH SCHOOL BOOSTER CLUB
Organization’s Mailing Address 3679 G ROAD
City PALISADE
State CO
ZIP 81526-8616
Accounting period End 12
Primary contact name VERONICA SORENSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AIMEE ARIETTA
PRESIDENT
3679 G ROAD
PALISADE CO 81526-8616

Officer/Director/Trustee Two

VERONICA SORENSON
TREASURER
3679 G ROAD
PALISADE CO 81526-8616

Officer/Director/Trustee Three

SUZANNE ERICKSON
SECRETARY
3679 G ROAD
PALISADE CO 81526-8616

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/1992
Organization Incorporation State CO
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: 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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