FORM 1023-EZ for CAMPBELL HIGH SCHOOL SOCCER BOOSTERCLUB INC

Field Data
EIN 47-2840078
Case Number EO-2015176-000421
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMPBELL HIGH SCHOOL SOCCER BOOSTERCLUB INC
Organization’s Mailing Address 5265 WARD STREET
City SMYRNA
State GA
ZIP 30080
Accounting period End 6
Primary contact name BROOKE WOODARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SUSAN MITCHELL
PRESIDENT
5265 WARD STREET
SMYRNA GA 30080

Officer/Director/Trustee Two

STEVE THOMAS
VICE PRESIDENT
5265 WARD STREET
SMYRNA GA 30080

Officer/Director/Trustee Three

BROOKE WOODARD
TREASURER
5265 WARD STREET
SMYRNA GA 30080

Officer/Director/Trustee Four

RHONDA MATHIS-BYRNES
SECRETARY
5265 WARD STREET
SMYRNA GA 30080

Officer/Director/Trustee Five

LYNN LAMBERT
MEMBER AT LARGE
5265 WARD STREET
SMYRNA GA 30080

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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