FORM 1023-EZ for BLUE RIDGE HIGH SCHOOL BOOSTERS

Field Data
EIN 47-4701561
Case Number EO-2017017-000672
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLUE RIDGE HIGH SCHOOL BOOSTERS
Organization’s Mailing Address 411 N JOHN STREET
City FARMER CITY
State IL
ZIP 61842
Accounting period End 6
Primary contact name MAUREEN GILBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAUREEN GILBERT
PRESIDENT
23 LAKEVIEW DR
MANSFIELD IL 61854

Officer/Director/Trustee Two

DEBBY ADAMS
VICE-PRESIDENT
206 E ILLINOIS ST
MANSFIELD IL 61854

Officer/Director/Trustee Three

SHENENE WILLIAMSON
TREASURER
22608 KENNEDY RD
FARMER CITY IL 61842

Officer/Director/Trustee Four

JESSICA DEMARSE
SECRETARY
527 W INDIANA
FARMER CITY IL 61842

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/2014
Organization Incorporation State IL
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 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
Signature Title
Signature Date

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