FORM 1023-EZ for SCOTT COUNTY YOUTH BOOSTERS

Field Data
EIN 83-2772522
Case Number EO-2019028-000266
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SCOTT COUNTY YOUTH BOOSTERS
Organization’s Mailing Address PO BOX 1474
City GEORGETOWN
State KY
ZIP 40324-6474
Accounting period End 12
Primary contact name SCYB BOOSTERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW BECKETT
PRESIDENT
190 JOHNSTONE TRAIL
GEORGETOWN KY 40324-8794

Officer/Director/Trustee Two

BRENT HAMPTON
VICE PRESIDENT
102 CHERRY HILL DR
GEORGETOWN KY 40324-9654

Officer/Director/Trustee Three

KEFAH HABASH
TREASURER
103 WILLOW BROOK LN
GEORGETOWN KY 40324-8668

Officer/Director/Trustee Four

DANIEL BAIRD
SECRETARY
113 MEADOWCREST DR
GEORGETOWN KY 40324-8088

Officer/Director/Trustee Five

JAMES BLACK
FIELD MANAGER
270 WILLIAMSBURG LN
GEORGETOWN KY 40324-2545

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/18
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - 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 No
Correctness Declaration Yes
Signature Name KEFAH HABASH
Signature Title TREASURER
Signature Date 12/14/18

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