FORM 1023-EZ for ANTWERP ATHLETIC BOOSTER CLUB INC

Field Data
EIN 47-4065249
Case Number EO-2015146-000282
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANTWERP ATHLETIC BOOSTER CLUB INC
Organization’s Mailing Address PO BOX 615
City ANTWERP
State OH
ZIP 45813-0615
Accounting period End 12
Primary contact name SHAWN SCHUETTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JASON LANDERS
PRESIDENT
14483 RD 31
ANTWERP OH 45813-9323

Officer/Director/Trustee Two

CHRISTINA WILLIAMSON
VICE-PRESIDENT
102 RED BUD DR
ANTWERP OH 45813-8477

Officer/Director/Trustee Three

SHAWN SCHUETTE
TREASURER
110 HIGH ST
ANTWERP OH 45813-8492

Officer/Director/Trustee Four

DENISE COLEMAN
SECRETARY
6125 COUNTY ROAD 424
ANTWERP OH 45813-9523

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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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