FORM 1023-EZ for BELLEVUE ATHLETIC BOOSTERS

Field Data
EIN 82-4255178
Case Number EO-2018183-000210
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BELLEVUE ATHLETIC BOOSTERS
Organization’s Mailing Address 309 E MANSION STREET
City MARSHALL
State MI
ZIP 49068
Accounting period End 6
Primary contact name CHAD JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH VANDEN HEUVEL
PRESIDENT
625 W CAPITAL AVE
BELLEVUE MI 49021

Officer/Director/Trustee Two

KIM WHITCOMB
VICE PRESIDENT
8806 ANDREWS HWY
BELLEVUE MI 49021

Officer/Director/Trustee Three

JODI POYER
TREASURER
7338 LAWRENCE
VERMONTVILLE MI 49096

Officer/Director/Trustee Four

KAYLA WHITMYER
SECRETARY
625 W CAPITAL AVE
BELLEVUE MI 49021

Officer/Director/Trustee Five

CHAD JACKSON
AUTHORIZED AGENT
309 E MANSION
MARSHALL MI 49068

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/17
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 CHAD JACKSON
Signature Title AUTHORIZED AGENT
Signature Date 6/28/18

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