FORM 1023-EZ for FREDERICK DOUGLASS VOLLEYBALL BOOSTERS

Field Data
EIN 82-2287586
Case Number EO-2017228-000317
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FREDERICK DOUGLASS VOLLEYBALL BOOSTERS
Organization’s Mailing Address 2000 WINCHESTER RD
City LEXINGTON
State KY
ZIP 40505
Accounting period End 5
Primary contact name TIFFANY HABERMEHL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIFFANY HABERMEHL
PRESIDENT
2000 WINCHESTER RD
LEXINGTON KY 40505

Officer/Director/Trustee Two

CHRISTY HELTON
VICE PRESIDENT
2000 WINCHESTER RD
LEXINGTON KY 40505

Officer/Director/Trustee Three

TAMMY MORTON
TREASURER
2000 WINCHESTER RD
LEXINGTON KY 40505

Officer/Director/Trustee Four

AMBER DEITZ
SECRETARY
2000 WINCHESTER RD
LEXINGTON KY 40505

Organization’s website HTTPS://SITES.GOOGLE.COM/VIEW/FDHSVB/
Organization’s email FDVBLEX@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/2017
Organization Incorporation State KY
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
Signature Title
Signature Date

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