FORM 1023-EZ for KOOTENAI HIGH SCHOOL BOOSTER CLUB

Field Data
EIN 82-0432243
Case Number EO-2014254-000522
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KOOTENAI HIGH SCHOOL BOOSTER CLUB
Organization’s Mailing Address 13030 E OGARA ROAD
City HARRISON
State ID
ZIP 83833-7641
Accounting period End 6
Primary contact name LISA HAWDON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CARRIE MARTIN
PRESIDENT
8006 E QUARTERHORSE TRAIL
ST MARIES ID 83861-9624

Officer/Director/Trustee Two

BRANDY CARMAN
VICE-PRESIDENT/SECRETARY
17446 E BLACK LAKE ROAD
ST MARIES ID 83861

Officer/Director/Trustee Three

LISA HAWDON
TREASURER
3554 E SUNSET DR
HARRISON ID 83833

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/2014
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T70 - Fund Raising Organizations That Cross Categories
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 Yes
One Third Support Gifts No
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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