FORM 1023-EZ for NAVAJO ATHLETIC BOOSTER CLUB

Field Data
EIN 73-1619366
Case Number EO-2014279-000469
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NAVAJO ATHLETIC BOOSTER CLUB
Organization’s Mailing Address 16197 S COUNTY ROAD 200
City ALTUS
State OK
ZIP 73521
Accounting period End 12
Primary contact name JUDY BOX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JUDY BOX
PRESIDENT
20947 STATE HWY 19
BLAIR OK 73526

Officer/Director/Trustee Two

DEBBIE BATES
TREASURER
16197 S COUNTY ROAD 200
ALTUS OK 73521

Officer/Director/Trustee Three

SHAWN CUMMINGS
VICE PRESIDENT
1705 OXFORD DR
ALTUS OK 73521

Officer/Director/Trustee Four

LORRIE TAYLOR
SECRETARY
16044 S COUNTY ROAD 212
HEADRICK OK 73549

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/2013
Organization Incorporation State OK
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
Signature Title
Signature Date

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