FORM 1023-EZ for ROOSEVELT HS ATHLETIC BOOSTER CLUB

Field Data
EIN 84-2626651
Case Number EO-2019294-000327
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROOSEVELT HS ATHLETIC BOOSTER CLUB
Organization’s Mailing Address 1406 CR 3300
City LUBBOCK
State TX
ZIP 79403
Accounting period End 8
Primary contact name CASSIE WENZEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CASSIE WENZEL
PRESIDENT
7 CHEROKEE TRL
RANSOM CANYON TX 79366

Officer/Director/Trustee Two

BRIAN MILLER
VICE PRESIDENT
1802 CR 3300
LUBBOCK TX 79403

Officer/Director/Trustee Three

DARRELL HAVENS
SECRETARY/TREASURER
317 NCR 2860
LUBBOCK TX 79403

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/19
Organization Incorporation State TX
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 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 CASSIE WENZEL
Signature Title PRESIDENT
Signature Date 10/17/19

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