FORM 1023-EZ for WASHINGTON MIDDLE SCHOOL ATHLETIC BOOSTERS

Field Data
EIN 47-1239746
Case Number EO-2015120-000205
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WASHINGTON MIDDLE SCHOOL ATHLETIC BOOSTERS
Organization’s Mailing Address 1100 N MAIN ST
City WASHINGTON
State IL
ZIP 61571
Accounting period End 7
Primary contact name TRACY CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KAY BUCHER
PRESIDENT
1508 NOFSINGER RD
WASHINGTON IL 61571

Officer/Director/Trustee Two

TRACY CAMPBELL
TREASURER
26427 SCHUCK RD
WASHINGTON IL 61571

Officer/Director/Trustee Three

MICHELLE BURKS
SECRETARY
1001 MILLER ST
WASHINGTON IL 61571

Organization’s website NA
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2014
Organization Incorporation State IL
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: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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
Signature Title
Signature Date

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