FORM 1023-EZ for NORTHEASTERN HIGH SCHOOL ATHLETIC BOOSTERS

Field Data
EIN 47-4867035
Case Number EO-2016292-000113
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHEASTERN HIGH SCHOOL ATHLETIC BOOSTERS
Organization’s Mailing Address PO BOX 175
City FOUNTAIN CITY
State IN
ZIP 47341
Accounting period End 12
Primary contact name DEBBIE BARTRAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBBIE BARTRAM
TREASURER
9036 US 35 N
WILLIAMSBURG IN 47393-0706

Officer/Director/Trustee Two

KRISTA RETTER
PRESIDENT
1377 HOPEWELL ROAD
FOUNTAIN CITY IN 47341

Officer/Director/Trustee Three

BETH BEATTY
SECRETARY
104 SOUTH STREET
FOUNTAIN CITY IN 47341

Officer/Director/Trustee Four

BECKY REYNOLDS
VICE PRESIDENT
3175 HOPEWELL ROAD
FOUNTAIN CITY IN 47341

Officer/Director/Trustee Five

VICKI HARTMAN
SECRETARY
2227 WALLACE ROAD
RICHMOND IN 47374

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/13/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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
Signature Title
Signature Date

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