FORM 1023-EZ for NORTH HIGH BAND BOOSTER CLUB INC

Field Data
EIN 81-0878264
Case Number EO-2015365-000320
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTH HIGH BAND BOOSTER CLUB INC
Organization’s Mailing Address 501 HOLCOMB AVENUE
City DES MOINES
State IA
ZIP 50313-4955
Accounting period End 5
Primary contact name CANDACE JERO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HEIDI ELLEFSON
PRESIDENT
3307 E JEFFERSON AVE
DES MOINES IA 50317-3218

Officer/Director/Trustee Two

RONDA BROWN
VICE-PRESIDENT
4000 12TH STREET
DES MOINES IA 50313-3224

Officer/Director/Trustee Three

LEANN FOLKERS
SECRETARY
2304 SAYLOR RD
DES MOINES IA 50313-5035

Officer/Director/Trustee Four

CANDACE JERO
TREASURER
329 SE 9TH STREET
ANKENY IA 50021-3510

Officer/Director/Trustee Five

DAVID BROWN
DIRECTOR
913 SE 10TH STREET
ANKENY IA 50021-3836

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2014
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 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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