FORM 1023-EZ for WCHS LACROSSE BOOSTER CLUB

Field Data
EIN 84-4649184
Case Number EO-2020049-000735
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WCHS LACROSSE BOOSTER CLUB
Organization’s Mailing Address 419 WILDCAT WAY
City LEBANON
State TN
ZIP 37090-8839
Accounting period End 6
Primary contact name MELISSA HETRICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMMIE MOSIER
PRESIDENT
419 WILDCAT WAY
LEBANON TN 37090-8839

Officer/Director/Trustee Two

MELISSA HETRICK
TREASURER
419 WILDCAT WAY
LEBANON TN 37090-8839

Officer/Director/Trustee Three

ANGIE MARTIN
SECRETARY
419 WILDCAT WAY
LEBANON TN 37090-8839

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/9/2020
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: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 MELISSA HETRICK
Signature Title TREASURER
Signature Date 2/16/2020

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