FORM 1023-EZ for CREEKWOOD ATHLETIC BOOSTER CLUB

Field Data
EIN 37-1899867
Case Number EO-2018192-000089
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CREEKWOOD ATHLETIC BOOSTER CLUB
Organization’s Mailing Address PO BOX 282
City CHARLOTTE
State TN
ZIP 37036
Accounting period End 12
Primary contact name BETH DAWSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TODD HAMILTON
PRESIDENT
120 ENCHANTED TRAIL
WHITE BLUFF TN 37187

Officer/Director/Trustee Two

DUSTIN DAWSON
VICE PRESIDENT
1522 ELNORA RD
WHITE BLUFF TN 37187

Officer/Director/Trustee Three

JESSICA MANGRUM
TREASURER
1440 HAYSHED RD
CHARLOTTE TN 37036

Officer/Director/Trustee Four

MEREDITH BONE
SECRETARY
1105 BEN COLLIER RD
CHARLOTTE TN 37036

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/02
Organization Incorporation State TN
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: No
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 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 TODD HAMILTON
Signature Title PRESIDENT
Signature Date 7/7/18

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