FORM 1023-EZ for SRNB BOOSTERS NON PROFIT INC

Field Data
EIN 81-0775803
Case Number EO-2016123-000126
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SRNB BOOSTERS NON PROFIT INC
Organization’s Mailing Address 2885 CASCADE SPRINGS DR SE
City GRAND RAPIDS
State MI
ZIP 49546
Accounting period End 12
Primary contact name MARY COPE BRENNAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS WILLIAMS
OFFICER
916 BELLCLAIRE AVENUE
GRAND RAPIDS MI 49506

Officer/Director/Trustee Two

KATHRYN HENNESEY
OFFICER
5356 GRASSWOOD CIRCLE
CONCORD CA 94521

Officer/Director/Trustee Three

MARY BRENNAN
OFFICER
2885 CASCADE SPRINGS DR SE
GRAND RAPIDS MI 49546

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/8/2015
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A62 - Dance
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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