FORM 1023-EZ for SEYMOUR HIGH SCHOOL QB CLUB

Field Data
EIN 27-3415572
Case Number EO-2019277-000988
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SEYMOUR HIGH SCHOOL QB CLUB
Organization’s Mailing Address 309 HUMPHREY DR
City SEYMOUR
State TN
ZIP 37865
Accounting period End 12
Primary contact name GARY HOLLIDAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARY HOLLIDAY
PRESIDENT
309 HUMPHREY DR
SEYMOUR TN 37865

Officer/Director/Trustee Two

JERRY SULLIVAN
VICE PRESIDENT
1309 BENJAMIN BLVD
SEVIERVILLE TN 37876

Officer/Director/Trustee Three

KENT LODARI
TREASURER
594 GAZEBO OBERLOOK
SEYMOUR TN 37865

Officer/Director/Trustee Four

ANNA CROWDER
SECRETARY
1334 MEADOWLAND CIRCLE
SEVIERVILLE TN 37876

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/4/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - 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 GARY HOLLIDAY
Signature Title PRESIDENT
Signature Date 10/2/19

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