FORM 1023-EZ for COLLINS BAND BOOSTERS

Field Data
EIN 27-3352334
Case Number EO-2015071-000966
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COLLINS BAND BOOSTERS
Organization’s Mailing Address PO BOX 262
City SIMPSONVILLE
State KY
ZIP 40067
Accounting period End 12
Primary contact name PATRICK MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID BLOCK
PRESIDENT
810 HENRY CLAY STREET
SHELBYVILLE KY 40065

Officer/Director/Trustee Two

EMILY ROYSE
SECRETARY
1031 STATION POINTE
SIMPSONVILLE KY 40067

Officer/Director/Trustee Three

JEFFREY TENNILL
VICE PRESIDENT
2030 LELAND DRIVE
SHELBYVILLE KY 40065

Officer/Director/Trustee Four

PATRICK MOORE
TREASURER
325 FIBLES RUN COUUR
SIMPSONVILLE KY 40067

Officer/Director/Trustee Five

KEVIN OSBORNE
BAND DIRECTOR
10403 TROTTERS POINTE DRIVE 232
LOUISVILLE KY 40241

Organization’s website WWW.TITAN-THUNDER.COM
Organization’s email THUNDERBOOSTERS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2012
Organization Incorporation State KY
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: 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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