FORM 1023-EZ for LEE WILLIAMS HIGH SCHOOL BOOSTER CLUB

Field Data
EIN 46-1664277
Case Number EO-2016188-000284
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEE WILLIAMS HIGH SCHOOL BOOSTER CLUB
Organization’s Mailing Address 400 GRANDVIEW AVE
City KINGMAN
State AZ
ZIP 86401
Accounting period End 6
Primary contact name CONNIE FITZSIMMONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHELLY MOON
PRESIDENT
2703 RUNNING IRON ST
KINGMAN AZ 86401

Officer/Director/Trustee Two

LISA JULLE
VICE PRESIDENT
1928 PASADENA AVE
KINGMAN AZ 86401

Officer/Director/Trustee Three

TIFFANY BARKER
SECRETARY
2424 PUEBLO DR
KINGMAN AZ 86401

Officer/Director/Trustee Four

CONNIE FITZSIMMONS
TREASURER
3140 S ATHERTON DR
KINGMAN AZ 86401

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2014
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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

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