FORM 1023-EZ for SOMD TKD BOOSTER CLUB INC

Field Data
EIN 47-5235758
Case Number EO-2015300-000120
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOMD TKD BOOSTER CLUB INC
Organization’s Mailing Address 103 QUAIL CT
City LA PLATA
State MD
ZIP 20646
Accounting period End 12
Primary contact name COREY ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KAREN ANDERSON
PRESIDENT
103 QUAIL CT
LA PLATA MD 20646

Officer/Director/Trustee Two

DEANNA HAYDEN
VICE PRESIDENT
13020 PINE GROVE RD
NEWBURG MD 20664

Officer/Director/Trustee Three

ROXANNE BROWN
TREASURER
3654 LUPTON CT
WHITE PLAINS MD 20695

Officer/Director/Trustee Four

LAURA VIGNEAULT
SECRETARY
6913 CROCKETT CT
HUGHESVILLE MD 20637

Officer/Director/Trustee Five

COREY ANDERSON
INITIAL DIRECTOR
103 QUAIL CT
LA PLATA MD 20646

Organization’s website SOMDTKDBOOSTERCLUBCOM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/2015
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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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