FORM 1023-EZ for GHS BOYS LAX BOOSTER CLUB

Field Data
EIN 46-2228142
Case Number EO-2015043-000434
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GHS BOYS LAX BOOSTER CLUB
Organization’s Mailing Address PO BOX 73
City GOLDEN
State CO
ZIP 80402
Accounting period End 12
Primary contact name KRISTINE M GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DOMINIC SPENCER
PRESIDENT
918 ARBUTUS COURT
GOLDEN CO 80401

Officer/Director/Trustee Two

JAMIN GRASS
VICE PRESIDENT
19539 WEST 55TH PLACE
GOLDEN CO 80403

Officer/Director/Trustee Three

KORY BUMGARDNER
SECRETARY/RECORDER
2345 STONECROP WAY
GOLDEN CO 80401

Officer/Director/Trustee Four

KRISTINE GREEN
TREASURER
5608 ORION CIRCLE
GOLDEN CO 80403

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2015
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 Yes
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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