FORM 1023-EZ for BURNSVILLE BOYS BASKETBALL BOOSTERCLUB

Field Data
EIN 86-3468953
Case Number EO-2021160-000259
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BURNSVILLE BOYS BASKETBALL BOOSTERCLUB
Organization’s Mailing Address 13213 YORK AVE S
City BURNSVILLE
State MN
ZIP 55337
Accounting period End 6
Primary contact name JESSICA SHERLOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWNA CONBOY
PRESIDENT
4024 RIVER VALLEY WAY
EAGAN MN 55124

Officer/Director/Trustee Two

ANNA SCHMOLL
VICE PRESIDENT
4133 W 125TH ST UNIT 6
SAVAGE MN 55378

Officer/Director/Trustee Three

SUSAN BUCHANAN
SECRETARY
4001 W 134TH ST
SAVAGE MN 55378

Officer/Director/Trustee Four

JESSICA SHERLOCK
TREASURER
13213 YORK AVE S
BURNSVILLE MN 55337

Organization’s website
Organization’s email BVILLEBOYSBASKETBALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/2021
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 JESSICA SHERLOCK
Signature Title TREASURER
Signature Date 6/7/2021

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