FORM 1023-EZ for CAROLINE HIGH SCHOOL ATHLETIC BOOSTER CLUB

Field Data
EIN 27-4023985
Case Number EO-2017258-000271
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAROLINE HIGH SCHOOL ATHLETIC BOOSTER CLUB
Organization’s Mailing Address PO BOX 84
City RUTHER GLEN
State VA
ZIP 22546
Accounting period End 12
Primary contact name RICHARD WILLIAMS JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD WILLIAMS JR
PRESIDENT, DIRECTOR
250 MANCHESTER DR
RUTHER GLEN VA 22546

Officer/Director/Trustee Two

CATRINA THOMPSON
SECRETARY, DIRECTOR
238 DICKINSON DR
BOWLING GREEN VA 22427

Officer/Director/Trustee Three

LAURA BEASLEY
TREASURER, DIRECTOR
23032 MARACOSSIC DR
BOWLING GREEN VA 22427

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/2014
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 27-4023985
Case Number EO-2014230-000303
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAROLINE HIGH SCHOOL ATHLETIC BOOSTER CLUB
Organization’s Mailing Address PO BOX 84
City RUTHER GLEN
State VA
ZIP 22546
Accounting period End 12
Primary contact name FLOYD GREEN JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD WILLIAMS
PRESIDENT, DIRECTOR
250 MANCHESTER DR
RUTHER GLEN VA 22546

Officer/Director/Trustee Two

CHERYL BUCHANAN
SECRETARY, DIRECTOR
19304 CHILESBURG RD
BEAVERDAM VA 23015

Officer/Director/Trustee Three

MELISSA BLANTON
TREASURER, DIRECTOR
4542 JERICO RD
RUTHER GLEN VA 22546

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/2014
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
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 Yes
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
Signature Title
Signature Date

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