FORM 1023-EZ for HUMBOLDT ATHLETIC BOOSTER CLUB

Field Data
EIN 83-4324064
Case Number EO-2019105-000499
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HUMBOLDT ATHLETIC BOOSTER CLUB
Organization’s Mailing Address PO BOX 746
City HUMBOLDT
State TN
ZIP 38343
Accounting period End 5
Primary contact name BARRY BRITTAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARRY BRITTAIN
PRESIDENT
750 CHALET PLACE
HUMBOLDT TN 38343

Officer/Director/Trustee Two

CHANCE BASKERVILLE
VICE-PRESIDENT
74 ANNIE RUSS ROAD
MEDINA TN 38355

Officer/Director/Trustee Three

LINDA ALEXANDER
TREASURER
1073 WOODGATE EXT
HUMBOLDT TN 38343

Officer/Director/Trustee Four

ALISHA BASKERVILLE
SECRETARY
74 ANNIE RUSS ROAD
MEDINA TN 38355

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/09
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 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 LINDA ALEXANDER
Signature Title TREASURER
Signature Date 4/12/19

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