FORM 1023-EZ for DHS BOYS SOCCER BOOSTER CLUB INC

Field Data
EIN 81-4364359
Case Number EO-2017009-000279
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DHS BOYS SOCCER BOOSTER CLUB INC
Organization’s Mailing Address 5035 VERMACK RD
City DUNWOODY
State GA
ZIP 30338
Accounting period End 6
Primary contact name SHANA SWARTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANA SWARTZ
TREASURER
4869 HIDDEN BRANCHES DR
DUNWOODY GA 30338

Officer/Director/Trustee Two

KAREN COURTNEY
PRESIDENT
1735 WOMACK ROAD
DUNWOODY GA 30338

Officer/Director/Trustee Three

ALLEGRA JOHNSON
VICE PRESIDENT
5231 NORTH PEACHTREE RD
DUNWOODY GA 30338

Officer/Director/Trustee Four

MARY KAY MORRIS
SECRETARY
1878 VANDERLYN DRIVE
DUNWOODY GA 30338

Organization’s website N/A
Organization’s email SCSWARTZ@ME.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/2/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
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 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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