FORM 1023-EZ for TUSCOLA GSA BOOSTER CLUB

Field Data
EIN 84-5060458
Case Number EO-2020108-000093
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TUSCOLA GSA BOOSTER CLUB
Organization’s Mailing Address 314 E BUCKNER ST
City TUSCOLA
State IL
ZIP 61953
Accounting period End 12
Primary contact name KODY CZERWONKA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE DELLORSO
PRESIDENT
314 E BUCKNER ST
TUSCOLA IL 61953

Officer/Director/Trustee Two

DANI KUSMAN
VICE PRESIDENT
207 W YATES ST
NEWMAN IL 61942

Officer/Director/Trustee Three

KODY CZERWONKA
TREASURER
1409 S 17TH ST
MATTOON IL 61938

Officer/Director/Trustee Four

MATTHEW HALES
SECRETARY
207 W YATES ST
NEWMAN IL 61942

Organization’s website N/A
Organization’s email TUSCOLAGSABOOSTERCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2019
Organization Incorporation State IL
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: Yes
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 KODY CZERWONKA
Signature Title TREASURER
Signature Date 4/15/2020

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