FORM 1023-EZ for 1 ACCS BOOSTER CLUB

Field Data
EIN 75-3130383
Case Number EO-2015351-000289
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 1 ACCS BOOSTER CLUB
Organization’s Mailing Address 102 LOOKING GLASS AVE SUITE 32
City OFFUTT AFB
State NE
ZIP 68113
Accounting period End 12
Primary contact name MICHAEL A BRAZELTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL BRAZELTON
PRESIDENT
102 LOOKING GLASS AVE SUITE 32
OFFUTT AFB NE 68113

Officer/Director/Trustee Two

REBECCA ROBERTS
VICE PRESIDENT
102 LOOKING GLASS AVE SUITE 32
OFFUTT AFB NE 68113

Officer/Director/Trustee Three

CATHERINE GRAY
TREASURER
102 LOOKING GLASS AVE SUITE 32
OFFUTT AFB NE 68113

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/2007
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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 No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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