FORM 1023-EZ for PINE CREEK HIGH SCHOOL FOOTBALL BOOSTER CLUB

Field Data
EIN 82-2353443
Case Number EO-2018128-000767
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PINE CREEK HIGH SCHOOL FOOTBALL BOOSTER CLUB
Organization’s Mailing Address 10750 THUNDER MOUNTAIN AVENUE
City COLORADO SPRINGS
State CO
ZIP 80908
Accounting period End 12
Primary contact name TAMARA LOWE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMARA LOWE
PRESIDENT
4832 ESCAPARDO WAY
COLORADO SPRINGS CO 80917

Officer/Director/Trustee Two

JENNIFER HERBERG
TREASURER
10061 COYOTE SONG TER
COLORADO SPRINGS CO 80924

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/17
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: Yes
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 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 TAMARA LOWE
Signature Title PRESIDENT
Signature Date 5/2/18

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