FORM 1023-EZ for PBHS GIRLS VOLLEYBALL BOOSTERS

Field Data
EIN 87-2346635
Case Number EO-2021246-000063
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PBHS GIRLS VOLLEYBALL BOOSTERS
Organization’s Mailing Address 32375 N GANTZEL RD
City SAN TAN VALLEY
State AZ
ZIP 85142
Accounting period End 12
Primary contact name TIFFANY DUERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAD KERN
VB BOOSTER PRESIDENT
32375 N GANTZEL RD
SAN TAN VALLEY AZ 85142

Officer/Director/Trustee Two

LACHELLE SMITH
VB BOOSTER TREASURER
32375 N GANTZEL RD
SAN TAN VALLEY AZ 85142

Officer/Director/Trustee Three

MICHELE HOOD
VB BOOSTER VP
32375 N GANTZEL RD
SAN TAN VALLEY AZ 85142

Officer/Director/Trustee Four

TIFFANY DUERSON
VB BOOSTER SECRETARY
32375 N GANTZEL RD
SAN TAN VALLEY AZ 85142

Organization’s website
Organization’s email PBHSVOLLEYBALL21@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2021
Organization Incorporation State AZ
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: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
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 TIFFANY DUERSON
Signature Title VB BOOSTER SECRETARY
Signature Date 9/2/2021

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