FORM 1023-EZ for LEBO JR SR HIGH SCHOOL BOOSTER CLUB

Field Data
EIN 81-3386810
Case Number EO-2016214-000361
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEBO JR SR HIGH SCHOOL BOOSTER CLUB
Organization’s Mailing Address 12 E 4TH STREET
City LEBO
State KS
ZIP 66856
Accounting period End 7
Primary contact name LAURA MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURA MOORE
PRESIDENT
230 W 7TH STREET
LEBO KS 66856

Officer/Director/Trustee Two

SUSAN ATCHISON
VICE-PRESIDENT
8090 W 323RD STREET
OSAGE CITY KS 66523

Officer/Director/Trustee Three

TRISHA OTT
TREASURER
665 OLD HIGHWAY 50
LEBO KS 66856

Officer/Director/Trustee Four

HEATHER OSWALD
SECRETARY
2724 DOBBIN TERR NW
LEBO KS 66856

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2016
Organization Incorporation State KS
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
Signature Title
Signature Date

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