FORM 1023-EZ for LADY TIGERS BASKETBALL BOOSTER CLUB

Field Data
EIN 81-4970162
Case Number EO-2020176-000471
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LADY TIGERS BASKETBALL BOOSTER CLUB
Organization’s Mailing Address PO BOX 1309
City LITCHFIELD PARK
State AZ
ZIP 85340
Accounting period End 4
Primary contact name JERRY HINK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHARYN DIXON
PRESIDENT
PO BOX 1309
LITCHFIELD PARK AZ 85340

Officer/Director/Trustee Two

TERRI BOSS
VICE PRESIDENT
PO BOX 1309
LITCHFIELD PARK AZ 85340

Officer/Director/Trustee Three

JERRY HINK
TREASURER
PO BOX 1309
LITCHFIELD PARK AZ 85340

Officer/Director/Trustee Four

ANN MCBRIDE
SECRETARY
PO BOX 1309
LITCHFIELD PARK AZ 85340

Organization’s website
Organization’s email LADYTIGERSAZ@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/2017
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JERRY HINK
Signature Title TREASURER
Signature Date 6/22/2020

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