FORM 1023-EZ for FLIP-N-OUT BOOSTERS

Field Data
EIN 46-4054306
Case Number EO-2014254-000033
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLIP-N-OUT BOOSTERS
Organization’s Mailing Address 16840 TOWNSHIP RD 118
City KIMBOLTON
State OH
ZIP 43749
Accounting period End 12
Primary contact name KIM ATKINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WENDY GUILLIAMS
PRESIDENT
16840 TOWNSHIP RD 118
KIMBOLTON OH 43749

Officer/Director/Trustee Two

TRACY NAPIER
VICE-PRESIDENT
3950 WOLF RD
PORT WASHINGTON OH 43837

Officer/Director/Trustee Three

JAIME GREWELL
SECRETARY
17734 CARROL RD
NEWCOMERSTOWN OH 43832

Officer/Director/Trustee Four

KIM ATKINSON
TREASURER
10513 ZONA LN
CAMBRIDGE OH 43725

Organization’s website N/A
Organization’s email DATKINSON_1978@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O11 - Single Organization Support
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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