FORM 1023-EZ for ARCADIA BOOSTERS CLUB

Field Data
EIN 56-1378642
Case Number EO-2017150-000199
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ARCADIA BOOSTERS CLUB
Organization’s Mailing Address PO BOX 1046
City WELCOME
State NC
ZIP 27374
Accounting period End 8
Primary contact name STACIE PLESS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAWN COYNE
PRESIDENT
PO BOX 1046
WELCOME NC 27374

Officer/Director/Trustee Two

MICHELLE ZIMMERMAN
SECRETARY
PO BOX 1046
WELCOME NC 27374

Officer/Director/Trustee Three

STACIE PLESS
TREASURER
PO BOX 1046
WELCOME NC 27374

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/1969
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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