FORM 1023-EZ for XTREME CHEERNASTICS ALLSTARZ BOOSTER CLUB

Field Data
EIN 82-3196400
Case Number EO-2017300-000122
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name XTREME CHEERNASTICS ALLSTARZ BOOSTER CLUB
Organization’s Mailing Address 2260 HONEY SUCKLE LN
City WELLSTON
State OH
ZIP 45692
Accounting period End 12
Primary contact name CHRISTOPHER SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DUSTY FULTZ
PRESIDENT
815 SOUTH RHODE ISLAND AVE
WELLSTON OH 45692

Officer/Director/Trustee Two

JESSICA WYATT
VICE PRESIDENT
MAIN STREET
WELLSTON OH 45692

Officer/Director/Trustee Three

MEEKA MOHLER
SECRETARY
22251 ST RT 93
WELLSTON OH 45692

Officer/Director/Trustee Four

CHRISTOPHER SMITH
EXECUTIVE DIRECTOR
419 4TH ST
OAK HILL OH 45656

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
One Third Support Gifts No
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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