FORM 1023-EZ for VAN ATHLETIC BOOSTER CLUB

Field Data
EIN 83-3663280
Case Number EO-2019070-000226
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VAN ATHLETIC BOOSTER CLUB
Organization’s Mailing Address PO BOX 1222
City VAN
State TX
ZIP 75790
Accounting period End 12
Primary contact name BJ ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BJ ANDERSON
PRESIDENT, DIRECTOR
PO BOX 1222
VAN TX 75790

Officer/Director/Trustee Two

JOHN PICKETT
SECRETARY, DIRECTOR
PO BOX 1222
VAN TX 75790

Officer/Director/Trustee Three

STACEY ANDERSON
TREASURER, DIRECTOR
PO BOX 1222
VAN TX 75790

Officer/Director/Trustee Four

KEVIN READ
DIRECTOR
PO BOX 1222
VAN TX 75790

Officer/Director/Trustee Five

SCOTT THOMAS
DIRECTOR
PO BOX 1222
VAN TX 75790

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 BJ ANDERSON
Signature Title PRESIDENT, DIRECTOR
Signature Date 3/8/19

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