FORM 1023-EZ for UPPERMAN FISHING BOOSTER CLUB

Field Data
EIN 82-2984840
Case Number EO-2018052-000147
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UPPERMAN FISHING BOOSTER CLUB
Organization’s Mailing Address 1370 HAWKINS CRAWFORD ROAD
City COOKEVILLE
State TN
ZIP 38501
Accounting period End 6
Primary contact name REGINA WALKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NELSON LAFEVER
PRESIDENT
7955 OLD MILL ROAD
BAXTER TN 38544

Officer/Director/Trustee Two

JAMIE MOSS
VICE PRESIDENT
5485 ACADEMY ROAD
COOKEVILLE TN 38501

Officer/Director/Trustee Three

REGINA WALKER
TREASURER
1370 HAWKINS CRAWFORD ROAD
COOKEVILLE TN 38501

Officer/Director/Trustee Four

LORNA LEE
SECRETARY
9715 OLD BAXTER ROAD
BAXTER TN 38544

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/17
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: Yes
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 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 REGINA WALKER
Signature Title TREASURER
Signature Date 2/16/18

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