FORM 1023-EZ for TIGER NATION FOOTBALL BOOSTER CLUB

Field Data
EIN 82-2380601
Case Number EO-2017285-000067
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TIGER NATION FOOTBALL BOOSTER CLUB
Organization’s Mailing Address 415 HWY 327
City SILSBEE
State TX
ZIP 77656
Accounting period End 5
Primary contact name ASHLEY KELLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ASHLEY KELLY
PRESIDENT
124 BROOKWOOD DRIVE
SILSBEE TX 77656

Officer/Director/Trustee Two

RHONDA PADILLA
TREASURER
745 SOUTH 7TH
SILSBEE TX 77656

Officer/Director/Trustee Three

JAMES WIGGINS
VICE- PRESIDENT
109 GEORGE
SILSBEE TX 77656

Officer/Director/Trustee Four

KIRSTEN BUSE
VICE- PRESIDENT
PO BOX 30
SILSBEE TX 77656

Officer/Director/Trustee Five

LESLIE MELANCON
VICE-PRESIDENT
205 WADE
SILSBEE TX 77656

Organization’s website TIGERNATIONFBC.COM
Organization’s email ADMIN@TIGERNATIONFBC.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/18/2017
Organization Incorporation State TX
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: 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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