FORM 1023-EZ for EDWARD W BOK ACADEMY ATHLETIC BOOSTER CLUB INC

Field Data
EIN 81-0692631
Case Number EO-2017033-000279
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EDWARD W BOK ACADEMY ATHLETIC BOOSTER CLUB INC
Organization’s Mailing Address 13901 US HWY 27
City LAKE WALES
State FL
ZIP 33859
Accounting period End 12
Primary contact name ROB MCCOLLUM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRENDA LANG
PRESIDENT
13901 US HWY 27
LAKE WALES FL 33859

Officer/Director/Trustee Two

SHELLY MARTINEZ
VICE PRESIDENT
13901 US HWY 27
LAKE WALES FL 33859

Officer/Director/Trustee Three

LORI CHANDLEY
SECRETARY
13901 US HWY 27
LAKE WALES FL 33859

Officer/Director/Trustee Four

ROB MCCOLLUM
TREASURER
13901 US HWY 27
LAKE WALES FL 33859

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/2016
Organization Incorporation State FL
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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