FORM 1023-EZ for EXA BOOSTER CLUB - EXTREME ATHLETICS
| Field | Data |
|---|---|
| EIN | 81-2154798 |
| Case Number | EO-2017235-000259 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | EXA BOOSTER CLUB - EXTREME ATHLETICS |
| Organization’s Mailing Address | 126 FENCO DRIVE |
| City | TUPELO |
| State | MS |
| ZIP | 38801 |
| Accounting period End | 6 |
| Primary contact name | SUSAN DILLARD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SUSAN DILLARD
EXA BOOSTER CLUB PRESIDENT
1070 CR 196
BLUE SPRINGS MS 38828
Officer/Director/Trustee Two
WENDY BECK
EXA BOOSTER CLUB VICE-PRESIDENT
347 CR 601
GUNTOWN MS 38849
Officer/Director/Trustee Three
JEANNA WITT
EXA BOOSTER CLUB SEC/TREASURER
1698 TREELINE DRIVE
BELDEN MS 38826
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/8/2016 |
| Organization Incorporation State | MS |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N12 - Fund Raising and/or Fund Distribution |
| 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 | |
| Signature Title | |
| Signature Date |
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