FORM 1023-EZ for SOUTHWESTERN HIGH SCHOOL GIRLS BASKETBALL BOOSTER CLUB

Field Data
EIN 20-8986123
Case Number EO-2015232-000455
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHWESTERN HIGH SCHOOL GIRLS BASKETBALL BOOSTER CLUB
Organization’s Mailing Address 225 PARKERS MILL ROAD
City SOMERSET
State KY
ZIP 42501
Accounting period End 6
Primary contact name RANDY TURPIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GARY PHELPS
PRESIDENT
330 SILVER CREEK DRIVE
SOMERSET KY 42503

Officer/Director/Trustee Two

KEVIN HALL
VICE PRESIDENT
130 ENTERPRISE DRIVE
SOMERSET KY 42501

Officer/Director/Trustee Three

SHERIE HARRIS
SECRETARY
1040 GASTINEAU ROAD
SOMERSET KY 42501

Officer/Director/Trustee Four

RANDY TURPIN
TREASURER
509 HIDDEN LOOP DRIVE
SOMERSET KY 42503

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/2007
Organization Incorporation State KY
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 Yes
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
Signature Title
Signature Date

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