FORM 1023-EZ for LUMBERTON RAIDER ATHLETIC BOOSTER CLUB

Field Data
EIN 76-0766010
Case Number EO-2018053-000286
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LUMBERTON RAIDER ATHLETIC BOOSTER CLUB
Organization’s Mailing Address 255 BENNY AVE
City LUMBERTON
State TX
ZIP 77657
Accounting period End 6
Primary contact name MIKE MINTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIKE MINTON
PRESIDENT
255 BENNY AVE
LUMBERTON TX 77657

Officer/Director/Trustee Two

KRISTIE RAINS
VICE PRESIDENT
13 BRIARWICK DRIVE
LUMBERTON TX 77657

Officer/Director/Trustee Three

LORI MORGAN
SECRETARY
104 EMERY LANE
LUMBERTON TX 77657

Officer/Director/Trustee Four

DEREK PEASTER
TREASURER
5350 LEXINGTON CIRCLE
LUMBERTON TX 77657

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/17
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 DEREK PEASTER
Signature Title TREASURER
Signature Date 2/20/18

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