FORM 1023-EZ for HUTCHISON HIGH SCHOOL BASKETBALL BOOSTER CLUB

Field Data
EIN 82-1904084
Case Number EO-2017226-000228
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HUTCHISON HIGH SCHOOL BASKETBALL BOOSTER CLUB
Organization’s Mailing Address 722 FIREWEED DR
City FARIBANKS
State AK
ZIP 99709
Accounting period End 12
Primary contact name RAYMOND BEDFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FARGO KESEY
PRESIDENT
212 SKYE LEE WAY
FAIRBANKS AK 99712

Officer/Director/Trustee Two

JAMIE SEEMS
VICE PRESIDENT
379 DIVISION STREET LOT 417
FAIRBANKS AK 99712

Officer/Director/Trustee Three

LYNN JOHNSTON
SECRETARY
721 FIREWEED DRIVE
FAIRBANKS AK 99709

Officer/Director/Trustee Four

RAYMOND BEDFORD
TREASURER
722 FIREWEED DRIVE
FAIRBANKS AK 99709

Officer/Director/Trustee Five

JENNIFER YOUNG
AUDITOR
1285 PICKERING DRIVE
FAIRBANKS AK 99709

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/2017
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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
Signature Title
Signature Date

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