FORM 1023-EZ for SILVER SANDS MIDDLE SCHOOL BAND BOOSTER CLUB

Field Data
EIN 83-2650629
Case Number EO-2019142-000194
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SILVER SANDS MIDDLE SCHOOL BAND BOOSTER CLUB
Organization’s Mailing Address 1300 HERBERT ST
City PORT ORANGE
State FL
ZIP 32129
Accounting period End 11
Primary contact name JOSEPH POWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VALERIE MOCK
DIRECTOR
2467 KARL DR
PORT ORANGE FL 32127

Officer/Director/Trustee Two

LINDA FAISON
PRESIDENT
947 STONYBROOK CIR
PORT ORANGE FL 32127

Officer/Director/Trustee Three

STEPHANIE DAHL
VICE PRESIDENT
7 CEDAR ST
PORT ORANGE FL 32127

Officer/Director/Trustee Four

ANDREA LA DOUCEUR
SECRETARY
5320 PLANTATION HOME WAY
PORT ORANGE FL 32127

Officer/Director/Trustee Five

GLEN NORMAN
TREASURER
59B3 TRAILWOOD DR
PORT ORANGE FL 32127

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/28/18
Organization Incorporation State FL
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: 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name VALERIE MOCK
Signature Title DIRECTOR
Signature Date 5/20/19

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