FORM 1023-EZ for BARTLETT HIGH SCHOOL BOYS CROSS COUNTRY

Field Data
EIN 81-2914518
Case Number EO-2020171-000284
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BARTLETT HIGH SCHOOL BOYS CROSS COUNTRY
Organization’s Mailing Address 5688 WOODLAWN ST
City BARTLETT
State TN
ZIP 38134-3482
Accounting period End 12
Primary contact name STEPHANIE MOULDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE MOULDER
TREASURE
7528 DELMONICO COVE
BARTLETT TN 38135

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2016
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
Correctness Declaration Yes
Signature Name STEPHANIE MOULDER
Signature Title TREASURE
Signature Date 6/17/2020
EIN 81-2914518
Case Number EO-2016201-000208
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BARTLETT HIGH SCHOOL BOYS CROSS COUNTRY BOOSTER CLUB
Organization’s Mailing Address 5688 WOODLAWN
City BARTLETT
State TN
ZIP 38134
Accounting period End 6
Primary contact name COURTNEY WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA HILL
PRESIDENT
5100 BRIARWIND DRIVE
ARLINGTON TN 38002

Officer/Director/Trustee Two

COURTNEY WILLIAMS
VICE PRESIDENT
6772 HARE POINTE DRIVE
ARLINGTON TN 38002

Officer/Director/Trustee Three

LUCAS MCNAIR
BOARD MEMBER
6697 HARE HILL DRIVE
ARLINGTON TN 38002

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/2016
Organization Incorporation State TN
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: No
Religious: No
Educational: Yes
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 Yes
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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