FORM 1023-EZ for GOLDEN HIGH SCHOOL PERFORMING ARTSBOOSTER CLUB

Field Data
EIN 81-3875395
Case Number EO-2019029-001010
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOLDEN HIGH SCHOOL PERFORMING ARTSBOOSTER CLUB
Organization’s Mailing Address 701 24TH ST
City GOLDEN
State CO
ZIP 80401
Accounting period End 7
Primary contact name SCOTT L ANDERSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT ANDERSEN
PRESIDENT
962 XENON CT
GOLDEN CO 80401

Officer/Director/Trustee Two

LEAH STOCKHAM
TREASURER
25798 SUMMERGREEN LANE
GOLDEN CO 80401

Officer/Director/Trustee Three

ATHEA HARGREAVES
TREASURER
438 GLADIOLA ST
GOLDEN CO 80401

Organization’s website HTTP://WWW.GHSPERFORMANCEARTS.COM/
Organization’s email GHSPERFORMANCEBOOSTER@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/16
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 Yes
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 Yes
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 SCOTT ANDERSEN
Signature Title PRESIDENT
Signature Date 12/20/18
EIN 81-3875395
Case Number EO-2019029-001010
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOLDEN HIGH SCHOOL PERFORMING ARTS BOOSTER CLUB
Organization’s Mailing Address 701 24TH ST
City GOLDEN
State CO
ZIP 80401
Accounting period End 7
Primary contact name SCOTT L ANDERSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT ANDERSEN
PRESIDENT
962 XENON CT
GOLDEN CO 80401

Officer/Director/Trustee Two

LEAH STOCKHAM
TREASURER
25798 SUMMERGREEN LANE
GOLDEN CO 80401

Officer/Director/Trustee Three

ATHEA HARGREAVES
TREASURER
438 GLADIOLA ST
GOLDEN CO 80401

Organization’s website HTTP://WWW.GHSPERFORMANCEARTS.COM/
Organization’s email GHSPERFORMANCEBOOSTER@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/16
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 Yes
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 Yes
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 SCOTT ANDERSEN
Signature Title PRESIDENT
Signature Date 12/20/18

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