FORM 1023-EZ for MIDWAY BOOSTER CLUB INC

Field Data
EIN 84-2713277
Case Number EO-2019235-000407
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIDWAY BOOSTER CLUB INC
Organization’s Mailing Address PO BOX 390
City WELCOME
State NC
ZIP 27374
Accounting period End 7
Primary contact name BRYAN K HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRYAN HARRIS
PRESIDENT
718 JES WES LN
LEXINGTON NC 27295

Officer/Director/Trustee Two

SCOTT KIRK
VICE PRESIDENT
335 MAYBERRY ST
WINSTON SALEM NC 27107

Officer/Director/Trustee Three

JULIE WHITLOW
TREASURER
1283 EVERGREEN DR
WINSTON SALEM NC 27107

Officer/Director/Trustee Four

JAMIE LEONARD
SECRETARY
136 WILDBERRY CT
LEXINGTON NC 27295

Organization’s website MIDWAYATHLETICS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/19
Organization Incorporation State NC
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: Yes
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 BRYAN HARRIS
Signature Title PRESIDENT
Signature Date 8/21/19

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