FORM 1023-EZ for THARPTOWN HIGH SCHOOL BAND BOOSTERCLUB

Field Data
EIN 82-2581200
Case Number EO-2018347-000175
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THARPTOWN HIGH SCHOOL BAND BOOSTERCLUB
Organization’s Mailing Address 438 COUNTY RD 41
City MOUNT HOPE
State AL
ZIP 35651
Accounting period End 12
Primary contact name MISTY HENDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MISTY HENDERSON
PRESIDENT
438 COUNTY ROAD 41
MOUNT HOPE AL 35651

Officer/Director/Trustee Two

TIFFANY DORNINK
VICE PRESIDENT
129 LINDEN ST
RUSSELLVILLE AL 35653

Officer/Director/Trustee Three

ANITA LOPEZ
SECRETARY
5845 COLBURN MOUNTAIN RD
TUSCUMBIA AL 35674

Officer/Director/Trustee Four

TRACY SCOTT
TREASURER
107 KELLY DRIVE
RUSSELLVILLE AL 35653

Officer/Director/Trustee Five

CALLIE HENDERSON
BAND DIRECTOR
1308 RUSH ST
TUSCUMBIA AL 35674

Organization’s website
Organization’s email THSWILDCATBANDBOOSTERS@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/17
Organization Incorporation State AL
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 MISTY HENDERSON
Signature Title PRESIDENT
Signature Date 12/11/18
EIN 82-2581200
Case Number EO-2018347-000175
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THARPTOWN HIGH SCHOOL BAND BOOSTER CLUB
Organization’s Mailing Address 438 COUNTY RD 41
City MOUNT HOPE
State AL
ZIP 35651
Accounting period End 12
Primary contact name MISTY HENDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MISTY HENDERSON
PRESIDENT
438 COUNTY ROAD 41
MOUNT HOPE AL 35651

Officer/Director/Trustee Two

TIFFANY DORNINK
VICE PRESIDENT
129 LINDEN ST
RUSSELLVILLE AL 35653

Officer/Director/Trustee Three

ANITA LOPEZ
SECRETARY
5845 COLBURN MOUNTAIN RD
TUSCUMBIA AL 35674

Officer/Director/Trustee Four

TRACY SCOTT
TREASURER
107 KELLY DRIVE
RUSSELLVILLE AL 35653

Officer/Director/Trustee Five

CALLIE HENDERSON
BAND DIRECTOR
1308 RUSH ST
TUSCUMBIA AL 35674

Organization’s website
Organization’s email THSWILDCATBANDBOOSTERS@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/17
Organization Incorporation State AL
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 MISTY HENDERSON
Signature Title PRESIDENT
Signature Date 12/11/18

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