FORM 1023-EZ for THE AMHERST STEELE THEATER BOOSTERCLUB

Field Data
EIN 36-4491300
Case Number EO-2016075-000017
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE AMHERST STEELE THEATER BOOSTERCLUB
Organization’s Mailing Address 450 WASHINGTON STREET
City AMHERST
State OH
ZIP 44001
Accounting period End 3
Primary contact name ANDREA PETKOVSEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TARA WILLIAMS
PRESIDENT
6235 OAK POINT ESTATES
LORAIN OH 44053

Officer/Director/Trustee Two

JENNY WERNER
VICE PRESIDENT
5857 OBERLIN ROAD
AMHERST OH 44001

Officer/Director/Trustee Three

THOMS D HENNES
SECRETARY
4412 YORKTOWN COURT
LORAIN OH 44053

Officer/Director/Trustee Four

ANDREA PETKOVSEK
TREASURER
1013 COOPERS RUN
AMHERST OH 44001

Officer/Director/Trustee Five

VALERIA FARSCHMAN
SPONSOR
548 ELYRIA AVENUE
AMHERST OH 44001

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/2001
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 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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