FORM 1023-EZ for CLARK COUNTY VOLLEYBALL BOOSTERS INC

Field Data
EIN 46-3368215
Case Number EO-2015278-000452
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLARK COUNTY VOLLEYBALL BOOSTERS INC
Organization’s Mailing Address 113 HOLIDAY ROAD
City WINCHESTER
State KY
ZIP 40391
Accounting period End 12
Primary contact name MARY NEAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JACKIE WOLLUM
CO-PRESIDENT
1365 LOGAN LICK ROAD
WINCHESTER KY 40391

Officer/Director/Trustee Two

MARY NEAL
CO-PRESIDENT
113 HOLIDAY ROAD
WINCHESTER KY 40391

Officer/Director/Trustee Three

NICKI HANSEL
VICE-PRESIDENT
604 REIMS DRIVE
WINCHESTER KY 40391

Officer/Director/Trustee Four

CHRIS MILES
TREASURER
6975 OLD BOONESBORO ROAD
WINCHESTER KY 40391

Officer/Director/Trustee Five

JENNIFER PALMER
SECRETARY
336 RUNNYMEADE DRIVE
WINCHESTER KY 40391

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/8/2014
Organization Incorporation State KY
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
Signature Title
Signature Date

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