FORM 1023-EZ for 561 NOS BOOSTER CLUB

Field Data
EIN 46-4039353
Case Number EO-2018152-000078
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 561 NOS BOOSTER CLUB
Organization’s Mailing Address 160 PATRICK ST
City PETERSON AFB
State CO
ZIP 80914
Accounting period End 12
Primary contact name DESTINY SHEATS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KYLE BURGESS
PRESIDENT
160 PATRICK ST
PETERSON AFB CO 80914

Officer/Director/Trustee Two

DESTINY SHEATS
VICE PRESIDENT
160 PATRICK ST
PETERSON AFB CO 80914

Officer/Director/Trustee Three

CHAD CHRISTENSEN
TREASURER
160 PATRICK ST
PETERSON AFB CO 80914

Officer/Director/Trustee Four

JACOB MACKEY
SECRETARY
160 PATRICK ST
PETERSON AFB CO 80914

Officer/Director/Trustee Five

ZACHARY MCCLURE
SERGEANT AT ARMS
160 PATRICK ST
PETERSON AFB CO 80914

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/30/18
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name DESTINY SHEATS
Signature Title VICE PRESIDENT
Signature Date 5/30/18

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