FORM 1023-EZ for WESTERN STEM ROBOTICS BOOSTER CLUB

Field Data
EIN 82-3196385
Case Number EO-2018016-000553
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WESTERN STEM ROBOTICS BOOSTER CLUB
Organization’s Mailing Address 13901 SW 31ST STREET
City DAVIE
State FL
ZIP 33330
Accounting period End 6
Primary contact name LORI HERSEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORI HERSEY
PRESIDENT
13901 SW 31ST STREET
DAVIE FL 33330

Officer/Director/Trustee Two

LISA PINDER
VICE PRESIDENT
894 NW 92ND AVE
PLANTATION FL 33324

Officer/Director/Trustee Three

SUSAN SCHOOLER
TREASURER
933 SW 131ST AVE
DAVIE FL 33325

Organization’s website N/A
Organization’s email LORIBHERSEY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/24/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 LORI HERSEY
Signature Title PRESIDENT
Signature Date 1/13/18

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