FORM 1023-EZ for SWHS BASS FISHING BOOSTER CLUB INC

Field Data
EIN 83-1720275
Case Number EO-2018257-000387
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SWHS BASS FISHING BOOSTER CLUB INC
Organization’s Mailing Address 108 JENNINGS LANE
City BRONSTON
State KY
ZIP 42518
Accounting period End 12
Primary contact name HEATHER BAKERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATHER BAKER
DIRECTOR
108 JENNINGS LANE
BRONSTON KY 42518

Officer/Director/Trustee Two

BOBBIE COGGINS
DIRECTOR
P O BOX 1461
BURNSIDE KY 42519

Officer/Director/Trustee Three

JENNIFER PHELPS
DIRECTOR
4907 KENO ROAD
BURNSIDE KY 42519

Officer/Director/Trustee Four

BRANDI BRAKE
DIRECTOR
83 CAVE HILL ROAD
EUBANK KY 42519

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/4/18
Organization Incorporation State KY
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 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 HEATHER BAKER
Signature Title DIRECTOR
Signature Date 9/12/18

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