FORM 1023-EZ for LYNCHBURG-CLAY MUSIC BOOSTERS

Field Data
EIN 83-2241353
Case Number EO-2018318-000072
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LYNCHBURG-CLAY MUSIC BOOSTERS
Organization’s Mailing Address 6762 STATE ROUTE 134
City LYNCHBURG
State OH
ZIP 45142
Accounting period End 6
Primary contact name KIM PARKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIM PARKER
TREASURER
6762 STATE ROUTE 134
LYNCHBURG OH 45142

Officer/Director/Trustee Two

GARY NAYLOR
PRESIDENT
6762 STATE ROUTE 134
LYNCHBURG OH 45142

Officer/Director/Trustee Three

TIFFANY ELLIS
VICE PRESIDENT
6762 STATE ROUTE 134
LYNCHBURG OH 45142

Officer/Director/Trustee Four

DAVID WILSON
SECRETARY
6762 STATE ROUTE 134
LYNCHBURG OH 45142

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/17
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 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 KIM PARKER
Signature Title TREASURER
Signature Date 11/6/18

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