FORM 1023-EZ for POTH ATHLETIC BOOSTER CLUB

Field Data
EIN 38-4020604
Case Number EO-2018186-000261
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POTH ATHLETIC BOOSTER CLUB
Organization’s Mailing Address 216 COUNTY ROAD 240
City MCCOY
State TX
ZIP 78113
Accounting period End 6
Primary contact name JENNIFER MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER MILLER
PRESIDENT
216 COUNTY ROAD 240
MCCOY TX 78113

Officer/Director/Trustee Two

ANTOINETTE MALCHER
VICE-PRESIDENT
521 VOGES
POTH TX 78147

Officer/Director/Trustee Three

KERI COOPER
TREASURER
117 PARK VIEW
POTH TX 78147

Officer/Director/Trustee Four

ANGELA VIZZA
SECRETARY
9947 FM 541
MCCOY TX 78113

Officer/Director/Trustee Five

AUDREY RESPONDEK
2ND VICE PRESIDENT
1789 COUNTY ROAD 230
FALLS CITY TX 78113

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/17
Organization Incorporation State TX
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: No
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 JENNIFER MILLER
Signature Title PRESIDENT
Signature Date 7/2/18

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