FORM 1023-EZ for MIDWEST XPLOSION BOOSTERS

Field Data
EIN 47-1570280
Case Number EO-2014287-000212
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIDWEST XPLOSION BOOSTERS
Organization’s Mailing Address 7719 GRAPHICS WAY STE E
City LEWIS CENTER
State OH
ZIP 43035
Accounting period End 12
Primary contact name CONSTANCE DONALDSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CONSTANCE DONALDSON
BOOSTER PRESIDENT
7719 GRAPHICS WAY STE E
LEWIS CENTER OH 43035

Officer/Director/Trustee Two

MELANIE MORRISON-WILLIAMS
BOOSTER TREASURER
7719 GRAPHICS WAY STE E
LEWIS CENTER OH 43035

Officer/Director/Trustee Three

ROBIN BLACE
BOOSTER VICE PRESIDENT
7719 GRAPHICS WAY STE E
LEWIS CENTER OH 43035

Officer/Director/Trustee Four

GLORIA INGA
BOOSTER SECRETARY
7719 GRAPHICS WAY STE E
LEWIS CENTER OH 43035

Officer/Director/Trustee Five

TAMMI HOUGH
BOOSTER FUNDRAISING CHAIRPERSON
7719 GRAPHICS WAY STE E
LEWIS CENTER OH 43035

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - 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 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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