FORM 1023-EZ for CCHS GIRLS VOLLEYBALL BOOSTER CLUB INC

Field Data
EIN 81-5273083
Case Number EO-2017067-000416
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CCHS GIRLS VOLLEYBALL BOOSTER CLUB INC
Organization’s Mailing Address 12007 LANDING WAY
City HOLLYWOOD
State FL
ZIP 33026
Accounting period End 12
Primary contact name DEBBIE HERNANDEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAUREEN PARDON
PRESIDENT
5740 SW 89TH WAY
COOPER CITY FL 33328

Officer/Director/Trustee Two

ALAINE DUCHARME
VICE PRESIDENT
2676 NW 83RD WAY
COOPER CITY FL 33024

Officer/Director/Trustee Three

DEBBIE HERNANDEZ
TREASURER
12007 LANDING WAY
COOPER CITY FL 33026

Officer/Director/Trustee Four

KAREN ROCK
SECRETARY
4855 HIBBS GROVE
COOPER CITY FL 33330

Officer/Director/Trustee Five

KAREN FLOR
SERGEANT OF ARMS
8755 SW 51ST PLACE
COOPER CITY FL 33328

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2016
Organization Incorporation State FL
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: 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 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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