FORM 1023-EZ for LAKE CORMORANT HIGH SCHOOL FOOTBALLBOOSTER CLUB

Field Data
EIN 82-1774773
Case Number EO-2020233-000251
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE CORMORANT HIGH SCHOOL FOOTBALLBOOSTER CLUB
Organization’s Mailing Address 2898 FOGG RD
City NESBIT
State MS
ZIP 38651
Accounting period End 12
Primary contact name FELICIA MCDONALD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENY PRICE
PRESIDENT
2898 FOGG RD
NESBIT MS 38651

Officer/Director/Trustee Two

MARC BRINKLEY
SECRETARY
9700 W COMMERCE ST
HERNANDO MS 38632

Officer/Director/Trustee Three

FELICIA MCDONALD
TREASURER
5845 CEDAR LAKE DR S
WALLS MS 38680

Organization’s website
Organization’s email LCHSFOOTBALLBOOSTER@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/2017
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: Yes
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 JENY PRICE
Signature Title PRESIDENT
Signature Date 8/18/2020
EIN 82-1774773
Case Number EO-2017257-000176
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LCHS FOOTBALL BOOSTER CLUB
Organization’s Mailing Address 10201 STAR LANDING RD
City WALLS
State MS
ZIP 38680
Accounting period End 12
Primary contact name FELICIA MCDONALD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICK DEGRAW
PRESIDENT
PO BOX 355
WALLS MS 38680

Officer/Director/Trustee Two

FELICIA MCDONALD
VICE PRESIDENT
PO BOX 355
WALLS MS 38680

Officer/Director/Trustee Three

IDA ROHRBACHER
SECRETARY
PO BOX 355
WALLS MS 38680

Officer/Director/Trustee Four

STEPHANIE LEWIS
TREASURER
PO BOX 355
WALLS MS 38680

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/2017
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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