FORM 1023-EZ for RANGER BOYS RACQUET BOOSTERS

Field Data
EIN 85-1514921
Case Number EO-2021112-000220
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RANGER BOYS RACQUET BOOSTERS
Organization’s Mailing Address PO BOX 163
City FOREST LAKE
State MN
ZIP 55025
Accounting period End 6
Primary contact name KELLY DZURIK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMBER SETTER
PRESIDENT
7199 261ST AVE NE
STACY MN 55079

Officer/Director/Trustee Two

HEATHER GREEN
VICE PRESIDENT
7597 261ST AVE NE
NORTH BRANCH MN 55056

Officer/Director/Trustee Three

JESSICA LEAGJELD
SECRETARY
22504 ELSTON AVE
FOREST LAKE MN 55025

Officer/Director/Trustee Four

KELLY DZURIK
TREASURER
24432 IMPERIAL CT
FOREST LAKE MN 55025

Organization’s website NA
Organization’s email RANGERBOYSRACQUETBOOSTERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2020
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: No
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 KELLY DZURIK
Signature Title TREASURER
Signature Date 4/20/2021

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