FORM 1023-EZ for JACKET ACADEMIC BOOSTERS

Field Data
EIN 46-2468925
Case Number EO-2015316-000222
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JACKET ACADEMIC BOOSTERS
Organization’s Mailing Address 509 EAST CENTER STREET
City LEXINGTON
State NC
ZIP 27292
Accounting period End 12
Primary contact name JOHN SCOTT BIESECKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT CURLEE
CHAIRMAN
617 PARKS CIRCLE
LEXINGTON NC 27295

Officer/Director/Trustee Two

MARJORIE PARKER
SECRETARY
19 WILLIAMS CIRCLE
LEXINGTON NC 27292

Officer/Director/Trustee Three

JOHN BIESECKER
TREASURER
509 EAST CENTER STREET
LEXINGTON NC 27292

Organization’s website WWW.LEXCS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2011
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
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 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 Yes
One Third Support Gifts No
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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