FORM 1023-EZ for PERRY HIGH SCHOOL BOOSTER CLUB

Field Data
EIN 47-2570583
Case Number EO-2014356-000479
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PERRY HIGH SCHOOL BOOSTER CLUB
Organization’s Mailing Address 3737 13TH ST SW
City MASSILLON
State OH
ZIP 44646
Accounting period End 12
Primary contact name KELLY PRUETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TY PRUETT
BOYS PRESIDENT
4167GEORGIASTNW
MASSILLON OH 44646

Officer/Director/Trustee Two

JEN BEATTY
GIRLS PRESIDENT
1117 BRANT AVE NW
CANTON OH 44708

Officer/Director/Trustee Three

AMY SCOTT
SECRETARY
1618 BRUNNERDALE AVE NW
MASSILLON OH 44646

Officer/Director/Trustee Four

KELLY PRUETT
TREASURER
4167 GEORGIA ST NW
MASSILLON OH 44646

Organization’s website
Organization’s email PERRYSOCCERBOOSTERS@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2013
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
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 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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