FORM 1023-EZ for BELLEVUE ATHLETIC BOOSTERS

Field Data
EIN 85-2364075
Case Number EO-2020307-000557
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BELLEVUE ATHLETIC BOOSTERS
Organization’s Mailing Address 1601 STATE STREET
City BELLEVUE
State IA
ZIP 52031
Accounting period End 8
Primary contact name JESSICA HINGTGEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIXIE VALANT
PRESIDENT
28829 HAGER LANE
BELLEVUE IA 52031

Officer/Director/Trustee Two

JESSICA HINGTGEN
TREASURER/SECRETARY
30312 BELLEVUE CASCADE RD
BELLEVUE IA 52031-9176

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/2020
Organization Incorporation State IA
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: Yes
Religious: No
Educational: No
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 No
Correctness Declaration Yes
Signature Name JESSICA HINGTGEN
Signature Title TREASURER/SECRETARY
Signature Date 10/30/2020

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