FORM 1023-EZ for PRIZM COMP BOOSTER CLUB
| Field | Data |
|---|---|
| EIN | 84-3389098 |
| Case Number | EO-2020015-000242 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PRIZM COMP BOOSTER CLUB |
| Organization’s Mailing Address | PO BOX 10191 |
| City | WILLISTON |
| State | ND |
| ZIP | 58803 |
| Accounting period End | 10 |
| Primary contact name | AMBER BARBARICK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DANA JOHNSON
PRESIDENT
1512 ROSE LANE
WILLISTON ND 58801
Officer/Director/Trustee Two
AMANDA ELMER
VICE PRESIDENT
3017 27TH AVE W
WILLISTON ND 58801
Officer/Director/Trustee Three
AMBER BARBARICK
TREASURER
3319 WHEAT RIDGE ST
WILLISTON ND 58801
Officer/Director/Trustee Four
LINDSAY STONEHOCKER
SECRETARY
3119 17TH AVE W
WILLISTON ND 58801
Officer/Director/Trustee Five
ANGELA ADKINS
OFFICER
2413 12TH AVE W
WILLISTON ND 58801
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/16/2019 |
| Organization Incorporation State | ND |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N12 - Fund Raising and/or Fund Distribution |
| 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 | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | Yes |
| 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 | AMBER BARBARICK |
| Signature Title | TREASURER |
| Signature Date | 1/13/2020 |
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