FORM 1023-EZ for FAIRFIELD UNION MUSIC BOOSTERS INC

Field Data
EIN 83-2575188
Case Number EO-2019035-000399
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAIRFIELD UNION MUSIC BOOSTERS INC
Organization’s Mailing Address 466 CRESTVIEW DR NE
City LANCASTER
State OH
ZIP 43130-8896
Accounting period End 12
Primary contact name MELISSA BURTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA BURTON
PRESIDENT/DIRECTOR
466 CRESTVIEW DR NE
LANCASTER OH 43130-8896

Officer/Director/Trustee Two

DANIEL BRYAN
FIRST VICE PRESIDENT/DIRECTOR
1045 FLAGDALE RD S
JUNCTION CITY OH 43748-9717

Officer/Director/Trustee Three

STEPHEN FOX
SECOND VICE PRESIDENT/DIRECTOR
760 CHAMPLAIN DR
LANCASTER OH 43130-9773

Officer/Director/Trustee Four

LAURIE SEYMOUR
SECRETARY/DIRECTOR
2135 BETHEL RD SE
BREMEN OH 43107-9743

Officer/Director/Trustee Five

JACIEN SQUIRES
TREASURER/DIRECTOR
755 SLEIGH HILL CT
BREMEN OH 43107-1199

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 MELISSA BURTON
Signature Title PRESIDENT/DIRECTOR
Signature Date 1/9/19

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