FORM 1023-EZ for JEFFERSONVILLE HIGH SCHOOL TENNIS BOOSTERS CLUB INC

Field Data
EIN 81-2536324
Case Number EO-2016161-000382
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JEFFERSONVILLE HIGH SCHOOL TENNIS BOOSTERS CLUB INC
Organization’s Mailing Address 2315 ALLISON LANE
City JEFFERSONVILLE
State IN
ZIP 47130
Accounting period End 12
Primary contact name R CURTIS ROEHM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RON CROSS
PRESIDENT
1104 DOGWOOD ROAD
JEFFERSONVILLE IN 47130

Officer/Director/Trustee Two

JENNIFER COWARD
VICE PRESIDENT
2404 LAKEWOOD BLVD
JEFFERSONVILLE IN 47130

Officer/Director/Trustee Three

JIMMY ZELLI
SECRETARY
5765 LENTZIER TRACE
JEFFERSONVILLE IN 47130

Officer/Director/Trustee Four

PAULA CROSS
TREASURER
1104 DOGWOOD ROAD
JEFFERSONVILLE IN 47130

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - 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 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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