FORM 1023-EZ for KELLY HAWKS BASKETBALL BOOSTERS

Field Data
EIN 83-3435228
Case Number EO-2019154-000138
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KELLY HAWKS BASKETBALL BOOSTERS
Organization’s Mailing Address 1612 COUNTY HIGHWAY 514
City SIKESTON
State MO
ZIP 63801
Accounting period End 12
Primary contact name LACEY HALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LACEY HALL
MEMBER
1612 COUNTY HIGHWAY 514
SIKESTON MO 63801

Officer/Director/Trustee Two

MICHELLE BRASHEAR
MEMBER
170 EAST KIRKPATRICK STREET
CHARLESTON MO 63834

Organization’s website N/A
Organization’s email HALLLACEY75@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/19
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - 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 LACEY HALL
Signature Title MEMBER
Signature Date 5/30/19

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