FORM 1023-EZ for GOESSEL BLUEBIRD BACKERS BOOSTER CLUB

Field Data
EIN 84-2611734
Case Number EO-2020043-000364
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOESSEL BLUEBIRD BACKERS BOOSTER CLUB
Organization’s Mailing Address 100 E MAIN
City GOESSEL
State KS
ZIP 67053
Accounting period End 12
Primary contact name TOM ZOGLEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY FLAMING
VICE PRESIDENT
1265
HILLSBORO KS 67063

Officer/Director/Trustee Two

CYNTHIA GADDIS
PRESIDENT
209 S BULLER
GOESSEL KS 67053

Officer/Director/Trustee Three

SUSAN NAFZIGER
SECRETARY
764 29TH AVE
CANTON KS 67428

Officer/Director/Trustee Four

THOMAS ZOGLEMAN
TREASURER
232 180TH
LEHIGH KS 67073

Officer/Director/Trustee Five

SCOTT BODEN
SCHOOL PRINCIPAL
201 MEADOWLARK LN
GOESSEL KS 67053

Organization’s website
Organization’s email BLUEBIRDBACKERS@USD411.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/2020
Organization Incorporation State KS
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: 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 SCOTT BODEN
Signature Title SCHOOL PRINCIPAL
Signature Date 2/10/2020

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