FORM 1023-EZ for THE HILLSBORO PLAYERS BOOSTER CLUB

Field Data
EIN 81-2143481
Case Number EO-2016125-000085
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE HILLSBORO PLAYERS BOOSTER CLUB
Organization’s Mailing Address 3812 HILLSBORO PIKE
City NASHVILLE
State TN
ZIP 37215
Accounting period End 6
Primary contact name JIM WEBER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RAY WAGNER
PRESIDENT
4236 WALLACE LANE
NASHVILLE TN 37215

Officer/Director/Trustee Two

SARAH DARK
SECRETARY
919 BRADFORD AVENUE
NASHVILLE TN 37204

Officer/Director/Trustee Three

ED KLEINE
TREASURER
2812 KENWAY ROAD
NASHVILLE TN 37215

Officer/Director/Trustee Four

JIM WEBER
TRUSTEE
946 BATTLEFIELD DRIVE
NASHVILLE TN 37204

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/2016
Organization Incorporation State TN
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 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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