FORM 1023-EZ for CENTERVILLE ATHLETIC BOOSTERS

Field Data
EIN 47-2220469
Case Number EO-2014311-000327
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CENTERVILLE ATHLETIC BOOSTERS
Organization’s Mailing Address PO BOX 392
City CENTERVILLE
State IN
ZIP 47330
Accounting period End 6
Primary contact name JEFF NICKELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEFF NICKELL
PRESIDENT
517 NORTH MORTON
CENTERVILLE IN 47330

Officer/Director/Trustee Two

ANNA LOHMOELLER
SECRETARY/TREASURER
1061 AIRPORT ROAD
CENTERVILLE IN 47330

Officer/Director/Trustee Three

MARK HOWELL
ATHLETIC DIRECTOR
432 WEST GROVE ROAD
CENTERVILLE IN 47330

Organization’s website
Organization’s email MHOWELL@CENTERVILLE.K12.IN.US
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/2014
Organization Incorporation State IN
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: No
Religious: No
Educational: Yes
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 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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