FORM 1023-EZ for XENIA CHRISTIAN BOOSTER CLUB

Field Data
EIN 47-4404659
Case Number EO-2015278-000408
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name XENIA CHRISTIAN BOOSTER CLUB
Organization’s Mailing Address 1101 JOHN WESLEY AVE
City XENIA
State OH
ZIP 45385
Accounting period End 6
Primary contact name GARY PHILLIPS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GARY PHILLIPS
PRESIDENT
1101 JOHN WESLEY AVE
XENIA OH 45385

Officer/Director/Trustee Two

KELLY PHILLIPS
VICE PRESIDENT
1101 JOHN WESLEY AVE
XENIA OH 45385

Officer/Director/Trustee Three

JACQUE NELSON
TREASURER
1101 JOHN WESLEY AVE
XENIA OH 45385

Officer/Director/Trustee Four

BECKY MCCASKEY
SECRETARY
1101 JOHN WESLEY AVE
XENIA OH 45385

Organization’s website NA
Organization’s email BMOSER@XENIACHRISTIAN.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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