FORM 1023-EZ for WOODMEN ATHLETIC BOOSTER CLUB INC

Field Data
EIN 81-1029059
Case Number EO-2016197-000297
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WOODMEN ATHLETIC BOOSTER CLUB INC
Organization’s Mailing Address 615 W SMITH VALLEY RD
City GREENWOOD
State IN
ZIP 46142
Accounting period End 7
Primary contact name SHAWN BAUER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWN BAUER
PRESIDENT
731 LINDENWOOD DR
GREENWOOD IN 46142

Officer/Director/Trustee Two

MICHELLE KINCAID
VICE PRESIDENT
1181 CARLTON CT
GREENWOOD IN 46142

Officer/Director/Trustee Three

JENNI BASS
SECRETARY
455 ALTON DR
GREENWOOD IN 46142

Officer/Director/Trustee Four

TAMARA RUSSELL
TREASURER
875 WILDERNESS LN
GREENWOOD IN 46142

Officer/Director/Trustee Five

DANA GARRISON
MEMBER
1173 KAY DR
GREENWOOD IN 46142

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/2016
Organization Incorporation State IN
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: 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 Yes
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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