FORM 1023-EZ for PARKWAY SOUTH PIGSKIN BOOSTER CLUB

Field Data
EIN 81-0572214
Case Number EO-2016190-000751
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PARKWAY SOUTH PIGSKIN BOOSTER CLUB
Organization’s Mailing Address 801 HANNA ROAD
City MANCHESTER
State MO
ZIP 63011
Accounting period End 2
Primary contact name JAYNE KLEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACINDA HENRY
PRESIDENT
1035 HOLLYBEND DRIVE
BALLWIN MO 63021

Officer/Director/Trustee Two

CHRIS KRISANIC
VICE-PRESIDENT
505 NANDALE LANE
BALLWIN MO 63021

Officer/Director/Trustee Three

JEFF DACUS
VICE-PRESIDENT
333 BRIGHTSAND COURT
MANCHESTER MO 63011

Officer/Director/Trustee Four

ANGELA BAUER
SECRETARY
410 LEICESTER SQUARE DRIVE
BALLWIN MO 63021

Officer/Director/Trustee Five

JAYNE KLEIN
TREASURER
701 CHELSEA OAKS PLACE
BALLWIN MO 63021

Organization’s website PSOUTHPATRIOTS.COM
Organization’s email PKWYSOUTHFOOTBALL@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/1976
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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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