FORM 1023-EZ for PALMYRA ALTHETIC BOOSTER CLUB

Field Data
EIN 43-1515774
Case Number EO-2020090-000338
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PALMYRA ALTHETIC BOOSTER CLUB
Organization’s Mailing Address PO BOX 168
City PALMYRA
State MO
ZIP 63461-0151
Accounting period End 12
Primary contact name SUSAN RAGAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLA MEYERS
PRESIDENT
1315 S SPRING ST
PALMYRA MO 63461-1813

Officer/Director/Trustee Two

MICHELLE MCMULLEN
VICE PRESIDENT
304 S DICKERSON ST
PALMYRA MO 63461-1524

Officer/Director/Trustee Three

ANDREA RIDOUT
SECRETARY
4378 WINDWARD
PALMYRA MO 63461-2079

Officer/Director/Trustee Four

SUSAN RAGAR
TREASURER
712 W MAIN CROSS ST
PALMYRA MO 63461-1341

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/1998
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N40 - Sports Training Facilities, Agencies
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name SUSAN RAGAR
Signature Title TREASURER
Signature Date 3/27/2020

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