FORM 1023-EZ for HHS BOOSTERS CLUB

Field Data
EIN 84-3043925
Case Number EO-2019273-000429
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HHS BOOSTERS CLUB
Organization’s Mailing Address 200 DS HALL STREET
City HERLONG
State CA
ZIP 96113
Accounting period End 12
Primary contact name REBECCA HULSEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA EVERETT
PRESIDENT
PO BOX 735
HERLONG CA 96113

Officer/Director/Trustee Two

JANICE GOTCHER
VICE PRESIDENT
PO BOX 623
HERLONG CA 96113

Officer/Director/Trustee Three

TARA MCGUIRE
SECRETARY
PO BOX 162
DOYLE CA 96109

Officer/Director/Trustee Four

REBECCA HULSEY
TREASURER
PO BOX 734
HERLONG CA 96113

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/25/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
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 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 REBECCA HULSEY
Signature Title TREASURER
Signature Date 9/27/19

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