FORM 1023-EZ for FARRAGUT HIGH SCHOOL LACROSSE BOOSTER CLUB

Field Data
EIN 82-1236318
Case Number EO-2017111-000313
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FARRAGUT HIGH SCHOOL LACROSSE BOOSTER CLUB
Organization’s Mailing Address PO BOX 23675
City FARRAGUT
State TN
ZIP 37933
Accounting period End 12
Primary contact name BRIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN MULLINS
PRESIDENT
260 MOUNTAIN DR
LENOIR CITY TN 37772

Officer/Director/Trustee Two

CATHY EDRADA
VICE PRESIDENT
303 SWEETGUM DR
KNOXVILLE TN 37934

Officer/Director/Trustee Three

DAN DAMRON
SECRETARY
12724 COMBLAIN RD
KNOXVILLE TN 37934

Officer/Director/Trustee Four

KIM WARNICK
TREASURER
12609 PONY EXPRESS DR
KNOXVILLE TN 37934

Officer/Director/Trustee Five

GINCY BREWSTER
SCHOOL ADMINISTRATOR
11237 KINGSTON PIKE
FARRAGUT TN 37934

Organization’s website
Organization’s email FHSLAXBOOSTERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/2017
Organization Incorporation State TN
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: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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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