FORM 1023-EZ for OWEN VALLEY HIGH SCHOOL ATHLETIC BOOSTER CLUB

Field Data
EIN 81-4429204
Case Number EO-2017019-000364
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OWEN VALLEY HIGH SCHOOL ATHLETIC BOOSTER CLUB
Organization’s Mailing Address PO BOX 646
City SPENCER
State IN
ZIP 47460
Accounting period End 7
Primary contact name PATRICK DAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK DAY
PRESIDENT
3427 WESTWARD ROAD
SPENCER IN 47460

Officer/Director/Trustee Two

ERIN PENDELTON
VICE PRESIDENT
5875 THREE OAKS LANE
SPENCER IN 47460

Officer/Director/Trustee Three

DANA HAUSER
SECRETARY/ TRESURER
2268 STEUBENVILLE ROAD
FREEDOM IN 47431

Officer/Director/Trustee Four

TAWNYA WOOD
MEMBERSHIP
915 SHERFIELD ROAD
SPENCER IN 47460

Officer/Director/Trustee Five

ROBERT LIVINGSTON
DIRECTOR
1517 HYDEN ROAD
SPENCER IN 47460

Organization’s website
Organization’s email OVHSBOOSTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/2016
Organization Incorporation State IN
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: No
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
Signature Title
Signature Date

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