FORM 1023-EZ for CGB ATHLETIC BOOSTER CLUB

Field Data
EIN 84-2195633
Case Number EO-2019190-000199
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CGB ATHLETIC BOOSTER CLUB
Organization’s Mailing Address PO BOX 723
City CERRO GORDO
State IL
ZIP 61818
Accounting period End 4
Primary contact name JUSTIN HOWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JIM SHEETS
PRESIDENT
204 CARMI COURT
CERRO GORDO IL 61818

Officer/Director/Trustee Two

JOYCE QUICK
VICE PRESIDENT
765 S MORGAN
BEMENT IL 61813

Officer/Director/Trustee Three

JUSTIN HOWELL
TREASURER
3376 S SWALLOW LANE
OAKLEY IL 62501

Officer/Director/Trustee Four

SYD MORGANTHALER
SECRETARY
113 E WAIT
CERRO GORDO IL 61818

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/19
Organization Incorporation State IL
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: 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 JUSTIN HOWELL
Signature Title TREASURER
Signature Date 7/4/19

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