FORM 1023-EZ for DOVER LADY PIRATE VOLLEYBALL BOOSTER CLUB

Field Data
EIN 85-0588907
Case Number EO-2020339-000079
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOVER LADY PIRATE VOLLEYBALL BOOSTER CLUB
Organization’s Mailing Address 9371 MARKET STREET
City DOVER
State AR
ZIP 72837
Accounting period End 12
Primary contact name JOSHUA MASTERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA BROWN
PRESIDENT
858 LANDERS LOOP RD
DOVER AR 72837

Officer/Director/Trustee Two

SUSAN SELF
SECRETARY
P O BOX 730
DOVER AR 72837

Officer/Director/Trustee Three

JENNIFER SPRADLIN
TREASURER
842 LANDERS LOOP RD
DOVER AR 72837

Officer/Director/Trustee Four

JOSHUA MASTERS
REGISTERED AGENT
2410 EAST PARKWAY STE 3
RUSSELLVILLE AR 72802

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/2020
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 No
Correctness Declaration Yes
Signature Name JOSHUA MASTERS
Signature Title REGISTERED AGENT
Signature Date 11/13/2020

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