FORM 1023-EZ for DES MOINES DERBY BRATS BOOSTER CLUB

Field Data
EIN 83-2186077
Case Number EO-2018291-000054
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DES MOINES DERBY BRATS BOOSTER CLUB
Organization’s Mailing Address 5621 MEREDITH DR
City DES MOINES
State IA
ZIP 50310
Accounting period End 12
Primary contact name ROMINA MUSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RANDAL FOSTER
PRESIDENT
5621 MEREDITH DR
DES MOINES IA 50310

Officer/Director/Trustee Two

CHRISTINE SVEC
VICE PRESIDENT
5621 MEREDITH DR
DES MOINES IA 50310

Officer/Director/Trustee Three

RANDAL FOSTER
TREASURER
5621 MEREDITH DR
DES MOINES IA 50310

Officer/Director/Trustee Four

ADAM GARRICK
OMBUDSMAN
5621 MEREDITH DR
DES MOINES IA 50310

Officer/Director/Trustee Five

ROMINA MUSE
OWNER
5621 MEREDITH DR
DES MOINES IA 50310

Organization’s website WWW.DESMOINESDERBYBRATS.COM
Organization’s email DESMOINESDERBYBRATS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/17
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 CHRISTINE SVEC
Signature Title VICE PRESIDENT
Signature Date 10/16/18

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