FORM 1023-EZ for PULASKI COUNTY VOLLEYBALL BOOSTER CLUB INC

Field Data
EIN 87-2289701
Case Number EO-2021245-000400
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PULASKI COUNTY VOLLEYBALL BOOSTER CLUB INC
Organization’s Mailing Address 511 UNIVERSITY DRIVE
City SOMERSET
State KY
ZIP 42501
Accounting period End 8
Primary contact name MELINDA DALTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELINDA DALTON
PRESIDENT
128 WOODLAND DRIVE
SOMERSET, KY KY 42501

Officer/Director/Trustee Two

JUDITH DYEHOUSE
VICE PRESIDENT
2139 SILVER STAR ROAD
SOMERSET KY 42503

Officer/Director/Trustee Three

ANDREA EASTHAM
SECRETARY
53 JANE LANE
SOMERSET KY 42503

Officer/Director/Trustee Four

KERI MAYFIELD
TREASURER
746 WOODS EDGE DRIVE
SOMERSET KY 42503

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/2021
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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 MELINDA DALTON
Signature Title PRESIDENT
Signature Date 8/31/2021

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